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Montana rates for HCPCS 0009U

Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene amplified or non-amplified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $162.18 / $323.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $323.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $154.88 / $234.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $107.15