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South Dakota rates for HCPCS 81246

Flt3 Gene Anlys Tyrosine Kinase Domain Variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.02 / $78.02 / $78.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $64.73 / $78.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.16 / $165.16 / $165.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.25 / $150.80 / $188.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.34 / $93.98 / $181.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.65 / $49.80 / $152.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.10 / $152.18 / $181.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.60 / $139.28 / $181.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.69 / $199.97 / $228.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $42.65 / $83.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $83.00 / $83.00