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South Dakota rates for HCPCS 81540

Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,548.13 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $7,244.36 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,265.80 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,238.72 / $18,620.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $8,709.64 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,238.72 / $4,265.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35