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South Dakota rates for HCPCS 81323

PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant

Facilitymedian $575 · 10th–90th $282–$5750%50%10th$575Professionalmedian $282 · 10th–90th $200–$7240%20%10th90th$282$50.0$100.0$200.0$500.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $575.44 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $288.40 / $549.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $125.89 / $1,513.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $707.95 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $131.83 / $346.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00