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Washington, DC 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 $56 · 10th–90th $35–$2880%20%40%10th90th$56Professionalmedian $36 · 10th–90th $24–$830%50%10th90th$36$0.1$0.5$2.0$10.0$50.0$200.0$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
$34.67 / $34.67 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $83.18
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $141.25 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $79.43 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $60.26 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $81.28 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $21.38 / $44.67