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Montana rates for HCPCS 0109U

Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus, A. niger, and A. flavus), blood, lavage fluid, or tissue, qualitative reporting of presence or absence of each species

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $190.55 / $436.52
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $208.93 / $316.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $141.25