go back

Montana rates for HCPCS 0115U

Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for RNA targets, each analyte reported as detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $354.81 / $831.76
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $831.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $398.11 / $602.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $245.47 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $275.42