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Montana rates for HCPCS 0034U

TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15)(eg, thiopurine metabolism) gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $707.95 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,621.81 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,412.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $676.08 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $416.87 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $467.74