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Ohio 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
$91.54 / $196.81 / $352.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $91.54 / $91.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.04 / $123.58 / $202.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.13 / $215.23 / $390.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $334.71 / $3,291.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.71 / $274.63 / $2,693.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.74 / $130.16 / $653.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $149.90 / $644.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.74 / $130.16 / $653.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $66.94 / $66.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $151.13