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Montana rates for HCPCS 81304

MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $257.04 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $223.87 / $467.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $223.87 / $467.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $257.04 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $151.36