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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
$204.19 / $1,141.71 / $1,141.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $346.24 / $524.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $255.03 / $257.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $346.24 / $524.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.80 / $159.80 / $257.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $74.58 / $177.56