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South Dakota rates for HCPCS 88120

Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual

Professionalmedian $525 · 10th–90th $52$1,0470%5%10%10th90th$525$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $52.48 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $977.24 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $97.72 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $870.96 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,023.29 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $107.15 / $363.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $1,047.13 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,023.29 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $107.15 / $107.15
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$870.96 / $912.01 / $912.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,096.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $102.33 / $109.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $933.25 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $354.81 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $35.48 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $316.23 / $1,148.15
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,230.27 / $1,230.27
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $123.03 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$851.14 / $1,096.48 / $1,122.02