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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
$712.86 / $712.86 / $712.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.10 / $591.52 / $712.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.88 / $1,511.88 / $1,511.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.29 / $1,377.41 / $1,721.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.74 / $858.69 / $1,392.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.76 / $455.02 / $1,390.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.61 / $1,390.52 / $1,685.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.03 / $1,272.56 / $1,662.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.45 / $1,827.12 / $2,083.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $386.76 / $758.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.36 / $758.36 / $758.36