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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.27 / $217.19 / $409.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $97.27 / $97.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $114.43 / $562.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $45.77 / $74.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $102.99 / $200.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $213.82 / $585.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $139.65 / $167.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $137.32 / $169.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.26 / $131.59 / $205.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $207.00 / $274.63
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $114.43 / $183.55
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $114.43 / $183.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $59.50 / $123.36