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South Dakota rates for HCPCS 81338

MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.31 / $141.31 / $141.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $141.31 / $170.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.64 / $299.64 / $299.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.68 / $273.52 / $341.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.88 / $170.22 / $275.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.67 / $90.20 / $275.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.40 / $195.43 / $329.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.40 / $252.26 / $329.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.97 / $362.19 / $412.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $76.67 / $150.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $150.33