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South Dakota rates for HCPCS 81507

Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.30 / $747.30 / $747.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.65 / $620.10 / $747.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.00 / $1,585.00 / $1,585.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.56 / $1,443.99 / $1,804.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.69 / $1,388.48 / $3,776.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.45 / $715.50 / $1,457.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.89 / $1,457.71 / $1,766.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.00 / $1,457.71 / $2,074.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.84 / $1,915.39 / $2,184.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.90 / $477.00 / $954.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $795.00 / $795.00