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Virginia 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

Facilitymedian $120 · 10th–90th $98$4470%20%10th90th$120Professionalmedian $79 · 10th–90th $46$1150%10%10th90th$79$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $239.88 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $85.11 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $77.62
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $95.50 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $125.89 / $158.49
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $128.82 / $194.98
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $114.82 / $239.88
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $223.87
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $125.89