go back

Iowa rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $177.83 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $275.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $147.91 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $138.04 / $269.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $60.26 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $57.54 / $208.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $114.82