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Montana rates for HCPCS 0118U

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,166.24 / $3,166.24 / $3,166.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,992.21 / $3,992.21 / $3,992.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,992.21 / $3,992.21 / $3,992.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,992.21 / $3,992.21 / $3,992.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.92 / $2,477.92 / $3,992.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.36 / $1,156.36 / $2,753.25