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California 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
$275.42 / $851.14 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $165.96 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $616.60 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $204.17 / $407.38
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $478.63 / $1,995.26
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $331.13 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $354.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $245.47 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $436.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $245.47 / $562.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $245.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $134.90 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $109.65 / $354.81