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Montana rates for HCPCS 0202U

Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $933.25 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $64,565.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $954.99
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $954.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $602.56 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $371.54 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $416.87