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Montana 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.92 / $165.92 / $165.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.92 / $165.92 / $165.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.92 / $165.92 / $165.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.99 / $102.99 / $165.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $114.43