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Maryland rates for HCPCS 0011U

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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $85.82 / $93.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $102.99 / $117.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.65 / $60.65 / $66.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $137.32 / $199.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $51.49 / $91.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.22 / $57.22 / $57.22