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South Dakota rates for HCPCS 81442

Noonan Spectrum Disorders Gen Seq Analys 12 Gen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.98 / $2,014.98 / $2,014.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.21 / $1,672.01 / $2,014.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,273.88 / $4,273.88 / $4,273.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,463.13 / $3,893.30 / $4,866.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,023.14 / $2,427.19 / $10,182.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $1,286.16 / $3,930.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.40 / $2,786.68 / $4,697.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.40 / $2,798.29 / $5,594.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.60 / $5,164.58 / $5,888.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $1,286.16 / $1,929.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.60 / $2,143.60 / $2,143.60