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Montana rates for HCPCS 81536

Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug combination (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $165.96 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $302.00 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $204.17 / $257.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $229.09 / $537.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $302.00 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $177.83