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Montana rates for HCPCS 0015M

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical steroid risk for adrenal cortical carcinoma, adenoma, or other adrenal malignancy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.79 / $1,892.79 / $1,892.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.79 / $1,892.79 / $1,892.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.79 / $1,892.79 / $1,892.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.83 / $1,174.83 / $1,892.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $548.26 / $1,305.36