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South Dakota rates for HCPCS 81206

BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.12 / $467.40 / $546.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.49 / $125.46 / $163.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.05 / $327.05 / $327.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.41 / $297.68 / $372.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.74 / $185.65 / $300.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.38 / $114.70 / $337.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.58 / $359.33 / $459.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.75 / $334.03 / $459.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.76 / $395.03 / $450.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $114.70 / $337.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.96 / $163.96 / $163.96