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South Dakota rates for HCPCS 0158U

MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $323.59 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $169.82 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84