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Nebraska 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
$457.09 / $512.86 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $302.00 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $245.47 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $181.97 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $117.49 / $269.15