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Nebraska 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
$80.90 / $114.43 / $114.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $75.52 / $75.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.21 / $126.55 / $244.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.22 / $181.94 / $187.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $208.24 / $260.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.66 / $171.90 / $543.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $68.66 / $330.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.32 / $217.84 / $250.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $224.37 / $292.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $68.66 / $223.14