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South Dakota rates for HCPCS 88267

Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.26 / $177.26 / $177.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.34 / $184.75 / $282.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.01 / $376.01 / $376.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.02 / $342.72 / $428.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.67 / $288.20 / $585.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.14 / $197.29 / $1,478.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.33 / $399.51 / $591.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.33 / $366.26 / $515.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.57 / $454.32 / $518.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.14 / $113.14 / $339.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.57 / $188.57 / $188.57