go back

Montana rates for HCPCS 0213U

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, each comparator genome (eg, parent, sibling)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,929.43 / $3,929.43 / $3,929.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,929.43 / $3,929.43 / $3,929.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,929.43 / $3,929.43 / $3,929.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.96 / $2,438.96 / $3,929.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.18 / $1,138.18 / $2,709.95