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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
Professional
Modifier
Low / Median / High Price
$244.73 / $244.73 / $350.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.19 / $697.19 / $697.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.31 / $635.16 / $793.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.97 / $395.88 / $641.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.31 / $209.77 / $685.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.15 / $665.59 / $895.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.54 / $678.61 / $766.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.96 / $842.34 / $960.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.84 / $178.31 / $349.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.62 / $349.62 / $349.62