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MECP2 Gene Test

South Dakota rates for HCPCS 81304

Looks for changes in the MECP2 gene in a blood sample. Changes in this gene cause Rett syndrome, a disorder that affects brain development and leads to loss of purposeful hand use, difficulty with speech, and problems with movement, occurring mainly in girls.

Facilitymedian $288 · 10th–90th $141$2880%50%10th$288Professionalmedian $141 · 10th–90th $100$3630%20%10th90th$141$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$758.58
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$199.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36