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Montana rates for HCPCS 81164

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,778.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,000.00 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $588.84