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South Dakota rates for HCPCS 81244

FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $41.69 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $87.10 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $51.29 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $223.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $104.71 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $51.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67