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New Jersey 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
$147.91 / $151.36 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $251.19 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $245.47
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $9,332.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $109.65 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $114.82 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $69.18 / $120.23