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South Dakota rates for HCPCS 81426

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,637.00 / $5,637.00 / $5,637.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,402.57 / $5,402.57 / $5,402.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,892.53 / $4,922.10 / $6,152.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.07 / $1,625.97 / $4,968.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,497.01 / $4,968.95 / $6,937.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,251.94 / $4,968.95 / $5,939.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,875.23 / $6,529.08 / $7,444.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.18 / $1,382.07 / $2,709.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,709.95 / $2,709.95 / $2,709.95