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Idaho 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
$114.82 / $204.17 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $199.53 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $239.88 / $446.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $147.91 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $147.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $223.87 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $114.82