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Montana rates for HCPCS 0015M

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical steroid risk for adrenal cortical carcinoma, adenoma, or other adrenal malignancy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $3,981.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,905.46 / $2,884.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,174.90 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,318.26