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South Dakota rates for HCPCS 81304

MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $141.25 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $288.40 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $346.74 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $173.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36