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Missouri rates for HCPCS 0150U

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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $128.82 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $63.10 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $57.54