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Montana rates for HCPCS 0219U

Infectious agent (human immunodeficiency virus), targeted viral next-generation sequence analysis (ie, protease [PR], reverse transcriptase [RT], integrase [INT]), algorithm reported as prediction of antiviral drug susceptibility

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,511.89 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $2,187.76
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,047.13 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $645.65 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $724.44