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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
$699.40 / $699.40 / $699.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,939.91 / $7,939.91 / $7,939.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,939.91 / $7,939.91 / $7,939.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,939.91 / $7,939.91 / $7,939.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,570.96 / $6,844.75 / $7,939.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.84 / $2,299.84 / $5,475.80