go back

Virginia 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 $52 · 10th–90th $39$2340%20%10th90th$52Professionalmedian $35 · 10th–90th $19$830%20%40%10th90th$35$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
$34.67 / $97.72 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $33.11
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $302.00 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $104.71 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $66.07
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $63.10 / $269.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $97.72 / $269.15
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $51.29