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Montana rates for HCPCS 0175U

Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $4,073.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $2,951.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,202.26 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,348.96