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Kansas 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
$186.21 / $416.87 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $316.23 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $288.40 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $169.82 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $204.17