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Genetic Test For A Gene Linked To Sickle Cell Disease

South Dakota rates for HCPCS 81364

A genetic blood test that examines the gene associated with sickle cell disease and beta thalassemia, two inherited conditions affecting red blood cells and the hemoglobin they carry. It looks for a change in this gene that can cause or contribute to these conditions. It may be used to confirm a diagnosis, guide family planning, or evaluate a newborn or family member of someone already diagnosed.

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $372$6170%50%10th$617Professionalmedian $324 · 10th–90th $195$7760%10%10th90th$324$200.0$500.0$1.0K$2.0K$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
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59