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West 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 $71 · 10th–90th $38–$710%50%10th$71Professionalmedian $38 · 10th–90th $31–$550%50%10th90th$38$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
$38.02 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $141.25 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $229.09 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $21.38 / $51.29