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South Dakota rates for HCPCS 0113U

Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $3,801.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $870.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58