go back

Arkansas 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
$144.54 / $144.54 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $169.82 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $114.82