go back

Montana rates for HCPCS 88249

Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $1,318.26 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $295.12 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $251.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $245.47 / $549.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $295.12 / $512.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $190.55