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South Dakota rates for HCPCS 88364

In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.49 / $31.49 / $31.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $99.23 / $131.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.89 / $31.49 / $120.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.06 / $76.12 / $275.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.89 / $68.89 / $68.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.09 / $276.27 / $345.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.39 / $68.89 / $86.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.69 / $207.39 / $259.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.96 / $106.00 / $275.75
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.52 / $28.94 / $212.17
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.44 / $77.06 / $663.40
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.38 / $91.38 / $91.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.50 / $227.89 / $349.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.81 / $212.81 / $250.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.22 / $53.89 / $63.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.37 / $158.91 / $186.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $83.96 / $238.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.57 / $21.65 / $64.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.32 / $62.44 / $94.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.60 / $285.60 / $285.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.60 / $72.30 / $72.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.00 / $213.30 / $213.30