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South Dakota rates for HCPCS 81242

FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.42 / $34.42 / $34.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $34.42 / $93.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.11 / $73.11 / $73.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.66 / $66.59 / $83.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.56 / $41.47 / $140.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $21.97 / $67.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $67.14 / $81.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.94 / $67.14 / $80.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.37 / $88.23 / $100.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $18.68 / $36.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61