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Montana rates for HCPCS 0055U

Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,019.95 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,168.69 / $9,772.37
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,168.69 / $9,772.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,677.35 / $7,079.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $3,235.94