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South Dakota rates for HCPCS 81304

Mecp2 Gene Analysis Duplication/Deletion Variant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.00 / $141.00 / $141.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.50 / $117.00 / $141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.98 / $298.98 / $298.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.79 / $272.87 / $341.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.57 / $169.85 / $275.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $90.00 / $275.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.56 / $275.04 / $333.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $275.04 / $328.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.50 / $361.40 / $412.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $76.50 / $150.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00