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South Dakota rates for HCPCS 81269

HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $512.86 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $229.09 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $1,023.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $234.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17