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Arizona 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
$89.13 / $229.09 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $208.93 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $100.00 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $112.20 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $114.82 / $208.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $69.18