go back

North Dakota 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
$79.43 / $107.15 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $85.11 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $87.10 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $114.82 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $117.49 / $194.98