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Pennsylvania 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $158.49
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $93.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $114.82 / $125.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $102.33 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $45.71 / $63.10