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South Carolina rates for HCPCS 81470

X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, HUWE1, IL1RAPL, KDM5C, L1CAM, MECP2, MED12, MID1, OCRL, RPS6KA3, and SLC16A2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.79 / $712.92 / $4,334.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.92 / $712.92 / $795.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.41 / $959.71 / $5,626.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.00 / $914.00 / $1,249.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.10 / $2,649.69 / $5,211.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.76 / $667.66 / $2,086.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.92 / $914.00 / $1,188.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.00 / $914.00 / $914.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.70 / $502.70 / $723.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.60 / $914.00 / $914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.88 / $548.40 / $914.00