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Montana rates for HCPCS 81417

Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.00 / $2,057.60 / $2,057.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.80 / $428.80 / $428.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $544.00 / $1,824.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.00 / $464.00 / $464.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $544.00 / $1,824.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $288.00 / $464.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.40 / $134.40 / $320.00