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South Dakota rates for HCPCS 0265U

Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen and formalin-fixed paraffin-embedded (FFPE) tissue, saliva, buccal swabs or cell lines, identification of single nucleotide and copy number variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $6,165.95 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $4,168.69 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $10,471.29 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,248.07 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $27,542.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $12,882.50 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,311.31 / $6,309.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41