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South Dakota rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $724.44 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $776.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $851.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65