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North Carolina 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
$154.88 / $616.60 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $616.60 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $112.20 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $389.05 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $281.84 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $154.88 / $245.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $239.88 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $204.17
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90