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South Dakota rates for HCPCS 81325

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.41 / $723.41 / $723.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.62 / $600.27 / $723.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.08 / $1,534.08 / $1,534.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.29 / $1,397.64 / $1,747.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.07 / $871.40 / $1,222.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.49 / $461.75 / $1,411.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.09 / $1,411.09 / $1,710.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.50 / $1,291.40 / $1,686.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.50 / $1,854.15 / $2,114.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.22 / $392.49 / $769.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.58 / $769.58 / $769.58