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South Dakota rates for HCPCS 0002U

Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring acquisition, algorithm reported as likelihood of adenomatous polyps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $47.86 / $58.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.99 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $125.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $58.88 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $28.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12