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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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,548.13 / $8,128.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,548.13 / $8,128.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,890.45 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,454.71 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $2,691.53