| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $125.89 | $125.89 | $158.49 | |
United
| Facility | $54.95 | $74.13 | $87.10 | |
United
| Professional | $39.81 | $51.29 | $112.20 |
Drug assay, definitive, 120 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metabolite description, comments including sample validation, per date of service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $125.89 | $125.89 | $158.49 | |
United
| Facility | $54.95 | $74.13 | $87.10 | |
United
| Professional | $39.81 | $51.29 | $112.20 |