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South Dakota rates for HCPCS 81422

Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood

Facilitymedian $1,445 · 10th–90th $708–$1,4450%50%10th$1,445Professionalmedian $708 · 10th–90th $513–$1,8200%20%10th90th$708$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $588.84 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,445.44 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $851.14 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $3,801.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,778.28 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $457.09 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58