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South Dakota rates for HCPCS 81253

GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $117.49 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $69.18 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $309.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $144.54 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $37.15 / $70.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66