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Montana rates for HCPCS 0016M

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,570.88 / $10,471.29
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,570.88 / $10,471.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,011.87 / $7,762.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,162.28 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $3,467.37