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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
$6,008.29 / $6,008.29 / $6,008.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,575.67 / $7,575.67 / $7,575.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,575.67 / $7,575.67 / $7,575.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,575.67 / $7,575.67 / $7,575.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,702.14 / $4,702.14 / $7,575.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.33 / $2,194.33 / $5,224.60