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South Dakota rates for HCPCS 81264

IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.37 / $162.37 / $162.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.73 / $134.72 / $162.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.68 / $344.68 / $344.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.32 / $314.00 / $392.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.02 / $195.58 / $317.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.64 / $104.46 / $316.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.90 / $331.82 / $418.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.28 / $316.72 / $427.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.85 / $406.42 / $474.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.55 / $104.46 / $228.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.73 / $172.73 / $172.73