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Montana rates for HCPCS 0040U

BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $616.60 / $1,230.27
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $588.84 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $371.54 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $407.38