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Iowa 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
$87.10 / $218.78 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $275.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $138.04 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $114.82 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $288.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82