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Kansas 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
$112.20 / $213.80 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $208.93 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $123.03 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $147.91