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Minnesota 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
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $75.86 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $114.82 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $331.13 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $223.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $295.12 / $616.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $144.54 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $85.11 / $190.55