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Montana rates for HCPCS 81448

Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11, SPTLC1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $4,466.84 / $95,499.26
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
$338.84 / $338.84 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,778.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,778.28
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 / $524.81 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $588.84