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Arkansas rates for HCPCS 0051U

Prescription drug monitoring, evaluation of drugs present by liquid chromatography tandem mass spectrommetry (LC-MS/MS), urine or blood, 31 drug panel, reported as quantitative results, detected or not detected, per date of service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $288.40 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $223.87 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $204.17