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South Dakota rates for HCPCS 81415

Exome Sequence Analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,493.20 / $4,493.20 / $4,493.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $4,493.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,529.57 / $9,529.57 / $9,529.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,492.49 / $8,681.59 / $10,851.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $4,511.35 / $22,705.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,437.80 / $4,302.00 / $8,764.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,168.26 / $8,764.59 / $10,622.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,736.00 / $8,764.59 / $12,475.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,835.40 / $11,516.45 / $13,131.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.60 / $2,868.00 / $4,780.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,780.00 / $4,780.00 / $4,780.00