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Tennessee 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 / $107.28 / $360.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $89.26 / $97.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $151.05 / $225.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.42 / $235.25 / $408.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $114.43 / $551.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.11 / $543.54 / $543.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.15 / $572.15 / $858.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $114.43