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Montana rates for HCPCS 0199U

Red cell antigen (Scianna blood group) genotyping (SC), gene analysis, ERMAP (erythroblast membrane associated protein [Scianna blood group]) exons 4, 12

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $263.03
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 / $346.74 / $831.76
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $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