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Maine 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
$245.47 / $245.47 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $158.49 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $288.40 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $112.20 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $245.47 / $302.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $154.88 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $309.03