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South Dakota rates for HCPCS 81465

Whole Mitochondrial Genome Analysis Panel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.84 / $879.84 / $879.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.12 / $730.08 / $879.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.36 / $1,866.36 / $1,866.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.86 / $1,700.54 / $2,125.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $883.40 / $4,446.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.36 / $842.40 / $1,716.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.84 / $1,716.25 / $2,080.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.20 / $1,716.25 / $2,442.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.48 / $2,255.10 / $2,571.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.12 / $561.60 / $1,123.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.00 / $936.00 / $936.00