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Montana rates for HCPCS 0118U

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,570.40 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,548.13 / $8,317.64
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,548.13 / $8,317.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,981.07 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,454.71 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $2,754.23