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Montana rates for HCPCS 0055U

Card Hrt Trnspl 96 Target Dna Sequences Plasma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,726.00 / $3,726.00 / $3,726.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,698.00 / $4,698.00 / $4,698.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,698.00 / $4,698.00 / $4,698.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,698.00 / $4,698.00 / $4,698.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,916.00 / $2,916.00 / $4,698.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.80 / $1,360.80 / $3,240.00