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Hawaii 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
$93.33 / $112.20 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $97.72 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $114.82 / $169.82