go back

South Dakota rates for HCPCS 81265

Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient germline [eg, buccal swab or other germline tissue sample] and donor testing, twin zygosity testing, or maternal cell contamination of fetal cells)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.09 / $219.09 / $219.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $219.09 / $450.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.79 / $464.79 / $464.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.05 / $423.67 / $529.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.98 / $263.91 / $427.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $150.44 / $442.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.76 / $477.88 / $603.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.68 / $438.12 / $608.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.18 / $561.54 / $640.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.89 / $150.44 / $233.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.07 / $233.07 / $233.07