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Montana rates for HCPCS 0002U

Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring acquisition, algorithm reported as likelihood of adenomatous polyps

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $37.15 / $75.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $75.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $36.31 / $54.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $39.81 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $25.12