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South Dakota rates for HCPCS 81351

TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $3,162.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $741.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65