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Maryland rates for HCPCS 0025U

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $91.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $91.20 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $60.26 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $120.23 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $42.66 / $93.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $169.82