go back

South Dakota rates for HCPCS 0214U

Rare diseases (constitutional/heritable disorders), whole exome and mitochondrial DNA sequence analysis, including small sequence changes, deletions, duplications, short tandem repeat gene expansions, and variants in non-uniquely mappable regions, blood or saliva, identification and categorization of genetic variants, proband

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,888.44 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,981.07 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $10,000.00 / $12,589.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,011.87 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,162.28 / $26,302.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $12,302.69 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,162.28 / $6,025.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07