go back

Montana rates for HCPCS 0179U

Oncology (non-small cell lung cancer), cell-free DNA, targeted sequence analysis of 23 genes (single nucleotide variations, insertions and deletions, fusions without prior knowledge of partner/breakpoint, copy number variations), with report of significant mutation(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,511.89 / $5,888.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,511.89 / $5,888.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $4,265.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,737.80 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,949.84