| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.59 | $131.59 | $131.59 | |
Aetna
| Professional | $94.98 | $94.98 | $94.98 | |
Cigna
| Facility | $74.38 | $74.38 | $74.38 | |
United
| Professional | $48.06 | $68.66 | $251.75 |
Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.59 | $131.59 | $131.59 | |
Aetna
| Professional | $94.98 | $94.98 | $94.98 | |
Cigna
| Facility | $74.38 | $74.38 | $74.38 | |
United
| Professional | $48.06 | $68.66 | $251.75 |