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Kentucky 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
$158.49 / $338.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $165.96 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $245.47 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $85.11 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $4,365.16 / $46,773.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $123.03 / $204.17