go back

South Dakota rates for HCPCS 81416

Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,280.00 / $11,280.00 / $11,280.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,040.00 / $9,360.00 / $11,280.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,923.81 / $23,923.81 / $23,923.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,789.24 / $21,795.69 / $27,244.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $11,325.60 / $57,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,120.00 / $10,800.00 / $22,003.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,485.18 / $22,003.19 / $26,667.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,400.00 / $22,003.19 / $31,320.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,160.00 / $28,911.60 / $32,966.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,040.00 / $7,200.00 / $14,400.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,000.00 / $12,000.00 / $12,000.00