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South Dakota rates for HCPCS 0260U

Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,951.21 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $1,445.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93