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Minnesota 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
$107.56 / $107.56 / $118.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $107.56 / $107.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.41 / $111.00 / $114.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $114.43 / $114.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.52 / $416.86 / $1,002.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $167.32 / $232.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.83 / $381.11 / $789.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $208.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $200.25 / $314.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.36 / $94.54 / $301.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $72.89 / $243.70