go back

South Carolina 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 / $281.84 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $91.20 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $123.03 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $288.40 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $102.33 / $208.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $114.82