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Montana rates for HCPCS 81439

Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at least 5 cardiomyopathy-related genes (eg, DSG2, MYBPC3, MYH7, PKP2, TTN)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,089.30 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,041.74 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $676.08 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,819.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,000.00 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $794.33