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Illinois rates for HCPCS 0093U

Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $107.15 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $83.18 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $114.82 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $75.86 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $87.10 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $61.66 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.88 / $61.66