go back

Montana rates for HCPCS 0223U

Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $416.78 / $416.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.33 / $604.33 / $604.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.33 / $604.33 / $604.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.33 / $604.33 / $604.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $375.10 / $604.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.69 / $175.07 / $416.83