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Maine 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
Facility
Modifier
Low / Median / High Price
$114.43 / $114.43 / $243.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.69 / $92.69 / $92.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.73 / $168.21 / $818.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $45.77 / $97.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.08 / $244.08 / $244.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $114.43 / $115.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $114.43 / $185.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.69 / $92.69 / $114.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.36 / $68.66 / $171.65