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Connecticut 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
$114.82 / $165.96 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $177.83 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $114.82 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $154.88 / $416.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $199.53