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Missouri 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
$99.55 / $153.83 / $265.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.27 / $99.55 / $111.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $120.15 / $528.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $101.85 / $200.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.60 / $215.40 / $274.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $133.06 / $133.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.55 / $143.04 / $543.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $572.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $129.41