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Kentucky rates for HCPCS 0149U

Drug assay, definitive, 60 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
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $63,095.73 / $83,176.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42,657.95 / $74,131.02 / $104,712.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $158.49