go back

Montana rates for HCPCS 0212U

Rare diseases (constitutional/heritable disorders), whole genome and mitochondrial DNA sequence analysis, including small sequence changes, deletions, duplications, short tandem repeat gene expansions, and variants in non-uniquely mappable regions, blood or saliva, identification and categorization of genetic variants, proband

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,939.04 / $7,939.04 / $7,939.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,939.04 / $7,939.04 / $7,939.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,939.04 / $7,939.04 / $7,939.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,927.68 / $4,927.68 / $7,939.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.58 / $2,299.58 / $5,475.20