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Maine 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 / $114.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $724.44 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $69.18 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $138.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $114.82 / $169.82