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Montana rates for HCPCS 0265U

Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen and formalin-fixed paraffin-embedded (FFPE) tissue, saliva, buccal swabs or cell lines, identification of single nucleotide and copy number variants

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,128.61 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,079.46 / $16,595.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $7,079.46 / $16,595.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,943.28 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $5,495.41