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Ohio 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
$107.15 / $194.98 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $120.23 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $213.80 / $380.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $1,584.89 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $1,778.28 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $131.83 / $147.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $117.49 / $467.74
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $102.33 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $131.83