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West 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
$93.83 / $143.04 / $171.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $93.83 / $97.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.47 / $643.66 / $3,089.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $154.47 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $137.32 / $343.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.54 / $551.54 / $551.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $57.22 / $165.92