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Montana rates for HCPCS 0136U

ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $524.81 / $1,230.27
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $588.84 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $363.08 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $407.38