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Montana rates for HCPCS 0335U

Rare diseases (constitutional/heritable disorders), whole genome sequence analysis, including small sequence changes, copy number variants, deletions, duplications, mobile element insertions, uniparental disomy (UPD), inversions, aneuploidy, mitochondrial genome sequence analysis with heteroplasmy and large deletions, short tandem repeat (STR) gene expansions, fetal sample, identification and categorization of genetic variants

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.55 / $1,031.55 / $1,031.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,575.67 / $7,575.67 / $7,575.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,575.67 / $7,575.67 / $7,575.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,575.67 / $7,575.67 / $7,575.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,269.52 / $6,530.75 / $7,575.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.33 / $2,194.33 / $5,224.60