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North Carolina 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
$91.20 / $363.08 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $346.74 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $181.97 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $102.33 / $165.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $134.90 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $125.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $851.14