| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.43 | $114.43 | $114.43 | |
BCBS
| Professional | $143.04 | $177.00 | $366.00 | |
Cigna
| Facility | $228.90 | $228.90 | $228.90 | |
United
| Professional | $48.06 | $48.06 | $114.43 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.43 | $114.43 | $114.43 | |
BCBS
| Professional | $143.04 | $177.00 | $366.00 | |
Cigna
| Facility | $228.90 | $228.90 | $228.90 | |
United
| Professional | $48.06 | $48.06 | $114.43 |