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Montana rates for HCPCS 0214U

Rare diseases (constitutional/heritable disorders), whole exome 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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,760.83 / $15,848.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $6,760.83 / $15,848.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $7,585.78 / $11,481.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $4,677.35 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $5,248.07