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South Dakota rates for HCPCS 81229

Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.40 / $1,090.40 / $1,090.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $580.00 / $1,740.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.87 / $2,312.87 / $2,312.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.94 / $2,106.59 / $2,633.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $1,217.88 / $1,842.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.60 / $696.00 / $2,126.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.90 / $2,126.96 / $2,577.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.00 / $2,126.96 / $2,542.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.80 / $2,794.79 / $3,186.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.20 / $591.60 / $1,531.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.00 / $1,160.00 / $1,160.00