| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $131.83 | $131.83 | |
Aetna
| Professional | $75.86 | $91.20 | $114.82 | |
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $47.86 | $69.18 | $251.19 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $131.83 | $131.83 | |
Aetna
| Professional | $75.86 | $91.20 | $114.82 | |
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $47.86 | $69.18 | $251.19 |