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Montana rates for HCPCS 81208

BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.23 / $556.23 / $556.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.81 / $246.81 / $1,380.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.58 / $1,322.60 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.58 / $287.58 / $287.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.20 / $364.85 / $1,223.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.20 / $311.20 / $311.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.20 / $364.85 / $1,223.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.16 / $193.16 / $311.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.14 / $90.14 / $214.62