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South Dakota rates for HCPCS 81202

APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; known familial variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.20 / $263.20 / $263.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.60 / $218.40 / $263.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.14 / $558.14 / $558.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.16 / $508.53 / $635.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.47 / $317.04 / $444.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.80 / $168.00 / $513.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.32 / $513.41 / $622.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.00 / $513.41 / $613.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.40 / $674.60 / $769.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $142.80 / $280.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $280.00 / $280.00