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Arkansas rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.08 / $120.08 / $199.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.18 / $120.08 / $120.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.78 / $97.78 / $97.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.77 / $128.66 / $142.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.75 / $112.06 / $178.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $131.75 / $164.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.77 / $85.77 / $85.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $51.46 / $86.28