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South Dakota rates for HCPCS 81277

Cytogenomic Neoplasia Microarray Analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.40 / $1,090.40 / $1,090.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.20 / $904.80 / $1,090.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.87 / $2,312.87 / $2,312.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.94 / $2,106.59 / $2,633.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.81 / $1,313.47 / $2,129.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.60 / $696.00 / $2,123.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.90 / $2,121.35 / $2,969.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.00 / $1,946.54 / $2,542.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.80 / $2,794.79 / $3,186.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.20 / $696.00 / $1,160.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.00 / $1,160.00 / $1,160.00