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Alaska rates for HCPCS 0011U

Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $891.25 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $346.74 / $371.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $426.58 / $457.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $316.23 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $102.33 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $229.09 / $346.74