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South Dakota rates for HCPCS 81353

TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.52 / $289.52 / $289.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.36 / $240.24 / $289.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.28 / $614.28 / $614.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.96 / $559.45 / $699.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.69 / $348.75 / $565.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $184.80 / $564.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.60 / $400.40 / $675.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.60 / $516.84 / $675.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.44 / $742.06 / $846.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.36 / $157.08 / $308.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $308.00 / $308.00