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New Hampshire rates for HCPCS 0116U

Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug interactions for prescribed medications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $478.63 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $162.18 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $776.25 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $426.58 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $380.19