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South Dakota rates for HCPCS 81250

G6pc Gene Analysis Common Variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.98 / $54.98 / $54.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $45.62 / $54.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.85 / $116.85 / $116.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $106.41 / $133.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.20 / $66.23 / $140.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $35.09 / $107.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.48 / $107.25 / $129.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $107.25 / $128.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.64 / $140.91 / $160.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $29.83 / $58.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.49 / $58.49 / $58.49