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Georgia 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
$75.86 / $154.88 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $125.89 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $251.19 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $147.91 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $102.33 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $158.49