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Montana rates for HCPCS 0004M

Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $117.49 / $239.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $114.82 / $173.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $79.43