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Washington, DC 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
$85.11 / $85.11 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $91.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $91.20 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $51.29 / $144.54