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Nebraska 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 / $302.00 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $85.11 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $177.83 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $218.78 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $173.78 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $109.65 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $69.18 / $114.82