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South Dakota rates for HCPCS 81519

Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score

Facilitymedian $7,413 · 10th–90th $3,631–$7,4130%50%10th$7,413Professionalmedian $3,890 · 10th–90th $2,570–$9,3330%20%40%10th90th$3,890$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,630.78 / $3,890.45
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,413.10 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $3,715.35 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $19,498.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,120.11 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $5,128.61
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,265.80