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Illinois 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
$117.49 / $199.53 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $154.88 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $245.47 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $141.25 / $165.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $288.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $63.10 / $114.82