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South Dakota rates for HCPCS 81243

FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.62 / $53.62 / $53.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $77.00 / $98.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.59 / $113.59 / $113.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $103.14 / $128.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.84 / $64.59 / $148.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.09 / $34.22 / $104.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.61 / $104.58 / $126.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $104.58 / $125.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $137.43 / $156.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $29.09 / $51.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $57.04 / $57.04