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South Dakota rates for HCPCS 81324

PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $3,801.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $870.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58