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Missouri 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 $45–$1050%20%10th90th$62Professionalmedian $40 · 10th–90th $22–$850%10%10th90th$40$10.0$20.0$50.0$100.0$200.0

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
$44.67 / $79.43 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.84 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $69.18 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $91.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $223.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $46.77 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $63.10