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Oklahoma 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
$85.82 / $114.43 / $274.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $84.68 / $85.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $74.38 / $305.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.65 / $139.65 / $167.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.68 / $114.43 / $192.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $160.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $73.23