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Oklahoma 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
$85.11 / $114.82 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $114.82 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $75.86