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South Dakota rates for HCPCS 88365

In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.82 / $39.82 / $39.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.55 / $164.74 / $207.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.96 / $52.49 / $205.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.59 / $133.61 / $370.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.17 / $87.17 / $87.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.26 / $373.29 / $466.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.55 / $87.17 / $108.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.71 / $286.12 / $357.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.88 / $143.44 / $1,140.80
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.23 / $36.69 / $326.98
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.65 / $106.63 / $871.18
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$152.13 / $152.13 / $152.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $304.11 / $461.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.31 / $286.22 / $337.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.63 / $70.36 / $80.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.86 / $212.52 / $257.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.25 / $109.88 / $322.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.77 / $36.69 / $91.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.48 / $82.65 / $247.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.20 / $385.20 / $385.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.40 / $91.50 / $91.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.80 / $293.70 / $293.70