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South Dakota rates for HCPCS 81252

GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.05 / $95.05 / $95.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $95.05 / $158.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.72 / $201.72 / $201.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.58 / $184.09 / $230.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.44 / $114.50 / $267.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.57 / $60.67 / $185.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.47 / $185.41 / $224.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.34 / $185.41 / $221.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.60 / $243.63 / $277.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.47 / $51.57 / $101.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.12 / $101.12 / $101.12