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Montana rates for HCPCS 0259U

Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and creatinine, algorithmically combined with cystatin C (by immunoassay) and demographic data to determine estimated glomerular filtration rate (GFR), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $48.98 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $75.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $66.07 / $120.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $120.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $66.07 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $52.48