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South Dakota rates for HCPCS 81536

Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug combination (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $338.84 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $199.53 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $213.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $416.87 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $234.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83