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South Dakota rates for HCPCS 81207

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.15 / $136.15 / $590.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.04 / $112.98 / $136.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.54 / $288.54 / $288.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.05 / $263.08 / $328.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.69 / $164.00 / $265.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $101.33 / $298.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.91 / $317.44 / $406.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.81 / $295.08 / $406.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.52 / $348.96 / $397.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $101.33 / $144.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.84 / $144.84 / $144.84