go back

Montana rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.77 / $499.77 / $499.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.06 / $929.06 / $929.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.38 / $920.47 / $929.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.06 / $929.06 / $929.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.73 / $768.88 / $929.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $269.11 / $640.73