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Montana rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $234.42
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $199.53 / $489.78
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $489.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $158.49