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Georgia 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 $62 · 10th–90th $31–$1580%10%20%10th90th$62Professionalmedian $39 · 10th–90th $28–$830%20%40%10th90th$39$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$30.90 / $87.10 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $53.70 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $39.81 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $75.86 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $53.70 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $61.66 / $363.08
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $64.57