go back

South Dakota rates for HCPCS 81554

Pulmonary disease (idiopathic pulmonary fibrosis [IPF]), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positive or negative for high probability of usual interstitial pneumonia [UIP])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.80 / $5,188.80 / $5,188.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,685.00 / $4,290.00 / $5,188.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,965.08 / $10,965.08 / $10,965.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,821.19 / $9,889.92 / $12,362.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,209.78 / $6,227.65 / $10,096.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.00 / $3,300.00 / $10,082.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,534.00 / $7,097.38 / $12,053.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,534.00 / $9,229.28 / $12,053.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,893.60 / $13,118.64 / $14,958.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,310.00 / $2,805.00 / $5,500.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,445.00 / $5,445.00 / $5,445.00