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South Dakota rates for HCPCS 81540

Oncology Tum Unknown Origin Mrna 92 Genes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,525.00 / $3,525.00 / $3,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,512.50 / $2,925.00 / $3,525.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,475.87 / $7,475.87 / $7,475.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,386.55 / $6,811.32 / $8,514.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.25 / $4,246.13 / $6,884.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.35 / $2,250.00 / $6,876.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,730.89 / $5,804.08 / $8,218.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,500.00 / $5,770.54 / $8,218.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,362.50 / $9,034.87 / $10,302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.35 / $1,575.00 / $3,375.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,750.00 / $3,750.00 / $3,750.00