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Oklahoma 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
$185.19 / $246.92 / $592.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.72 / $182.72 / $185.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.50 / $162.29 / $319.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $354.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.45 / $204.94 / $629.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $103.71 / $246.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $103.71 / $148.15