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Montana rates for HCPCS 81176

ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis (eg, exon 12)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.19 / $1,555.42 / $1,555.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.76 / $411.23 / $1,378.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.19 / $350.76 / $350.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.76 / $411.23 / $1,378.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.71 / $217.71 / $350.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.60 / $101.60 / $241.90