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Montana rates for HCPCS 0333U

Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high-risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des-gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.67 / $761.67 / $761.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.36 / $960.36 / $960.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.36 / $960.36 / $960.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.36 / $960.36 / $960.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.78 / $794.78 / $960.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.17 / $278.17 / $662.32