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Montana rates for HCPCS 81325

PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.49 / $1,677.49 / $1,677.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.02 / $4,948.39 / $4,948.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.24 / $1,031.24 / $1,031.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.89 / $1,308.29 / $4,386.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.89 / $1,115.89 / $1,115.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.89 / $1,308.29 / $4,386.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.62 / $692.62 / $1,115.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.22 / $323.22 / $769.58