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South Dakota rates for HCPCS 81539

Oncology Prostate Biochemical Assay 4 Proteins

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.40 / $714.40 / $714.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.20 / $592.79 / $714.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.15 / $1,515.15 / $1,515.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.50 / $1,380.67 / $1,725.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.29 / $860.55 / $1,395.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $456.00 / $1,393.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.40 / $1,196.67 / $1,945.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.00 / $1,189.75 / $1,665.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.80 / $1,831.07 / $2,087.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $319.20 / $684.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $760.00 / $760.00