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Minnesota 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
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $114.82 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $436.52 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $234.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $389.05 / $831.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $199.53 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $95.50 / $245.47