| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $125.89 | $128.82 | $162.18 | |
Medica
| Facility | $165.96 | $165.96 | $199.53 | |
United
| Facility | $40.74 | $114.82 | $181.97 | |
United
| Professional | $36.31 | $51.29 | $51.29 |
Drug assay, definitive, 80 or more drugs or metabolites, urine, by 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 | $128.82 | $162.18 | |
Medica
| Facility | $165.96 | $165.96 | $199.53 | |
United
| Facility | $40.74 | $114.82 | $181.97 | |
United
| Professional | $36.31 | $51.29 | $51.29 |