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Illinois 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 $83 · 10th–90th $47–$1410%10%10th90th$83Professionalmedian $39 · 10th–90th $6–$890%20%10th90th$39$5.0$20.0$100.0$500.0

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
$46.77 / $81.28 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $165.96 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $32.36 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $57.54 / $79.43
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $120.23 / $229.09
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $46.77