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California rates for HCPCS 81330

SMPD1(sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330)

Facilitymedian $100 · 10th–90th $37$2340%5%10%10th90th$100Professionalmedian $51 · 10th–90th $32$2000%10%20%10th90th$51$10.0$50.0$200.0$1.0K$5.0K

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
$43.65 / $112.20 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $42.66 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $109.65 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $117.49 / $213.80
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $107.15 / $138.04
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $85.11 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $134.90
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $51.29 / $91.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $61.66 / $151.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $51.29 / $138.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $102.33