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South Dakota rates for HCPCS 0205U

Ophthalmology (age-related macular degeneration), analysis of 3 gene variants (2 CFH gene, 1 ARMS2 gene), using PCR and MALDI-TOF, buccal swab, reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $34.67 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $91.20 / $112.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $45.71 / $87.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $109.65 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $53.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77