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Missouri 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 / $190.55 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $123.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $70.79 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $213.80 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $144.54 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $575.44
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 / $125.89