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South Dakota rates for HCPCS 81551

Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate cancer detection on repeat biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.20 / $1,908.20 / $1,908.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.10 / $1,583.40 / $1,908.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,047.36 / $4,047.36 / $4,047.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.78 / $3,687.01 / $4,608.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.91 / $2,298.57 / $3,726.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.30 / $1,218.00 / $3,722.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,619.58 / $3,722.21 / $5,196.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.00 / $3,591.07 / $4,448.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,902.90 / $4,890.88 / $5,576.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.60 / $1,035.30 / $2,030.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.00 / $2,030.00 / $2,030.00