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South Dakota rates for HCPCS 0047U

Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $7,413.10 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,365.16 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $19,498.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $9,120.11 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $4,466.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45