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South Dakota rates for HCPCS 0033U

HTR2A (5-hydroxytryptamine receptor 2A), HTR2C (5-hydroxytryptamine receptor 2C) (eg, citalopram metabolism) gene analysis, common variants (ie, HTR2A rs7997012 [c.614-2211T>C], HTR2C rs3813929 [c.-759C>T] and rs1414334 [c.551-3008C>G])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $398.11 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $812.83 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $346.74