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Montana rates for HCPCS 0205U

Ophthalmology (age-related macular degeneration), analysis of 3 gene variants (2 CFH gene, 1 ARMS2 gene), using PCR and MALDI-TOF, buccal swab, reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $43.65 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $58.88 / $141.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $141.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $67.61 / $102.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $75.86 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $46.77