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South Dakota rates for HCPCS 81405

Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.35 / $283.27 / $283.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.48 / $235.05 / $283.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.58 / $600.58 / $600.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.13 / $547.70 / $684.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.41 / $341.21 / $553.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.69 / $180.81 / $552.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.87 / $552.54 / $669.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.62 / $552.54 / $660.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.93 / $726.04 / $827.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.57 / $153.69 / $301.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.35 / $301.35 / $301.35