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Leukemia-Associated Gene Fusion Test

South Dakota rates for HCPCS 81315

This laboratory test looks for a specific genetic fusion, formed when pieces of two different chromosomes join together, that is strongly linked to a particular type of acute leukemia. Finding this fusion helps confirm the diagnosis and can guide the choice of targeted treatment. The test is typically run on a blood or bone marrow sample.

Rates data updated October 2026.

How much does Leukemia-Associated Gene Fusion Test cost?

$240

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $234 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$186 to $427
FacilityA hospital or hospital-owned outpatient department$234$234 to $398

How much rates vary

Facilitymedian $234 · 10th to 90th $195 to $398Professionalmedian $240 · 10th to 90th $138 to $501
$100$200$500$1Kfacility $234professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$398.11
Typical High
$501.19
Medica
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$234.42
Typical High
$331.13
Medica
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$186.21
Typical High
$426.58
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$478.63
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$144.54
Typical High
$281.84
Wellmark
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where South Dakota sits

The same service costs 3.8 times more in Alaska than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 16th of 51

$240

AK $468CT $123

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.