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Montana rates for HCPCS 0102U

Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (17 genes [sequencing and deletion/duplication])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.54 / $1,499.54 / $1,499.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.73 / $1,890.73 / $1,890.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.73 / $1,890.73 / $1,890.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.73 / $1,890.73 / $1,890.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.56 / $1,173.56 / $1,890.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $469.55 / $1,117.98