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South Dakota rates for HCPCS 0101U

Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (15 genes [sequencing and deletion/duplication], EPCAM and GREM1 [deletion/duplication only])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,073.80 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $1,737.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80