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South Dakota rates for HCPCS 0016U

Oncology (hematolymphoid neoplasia), RNA, BCR/ABL1 major and minor breakpoint fusion transcripts, quantitative PCR amplification, blood or bone marrow, report of fusion not detected or detected with quantitation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $186.21 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $102.33 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $204.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18