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Delaware 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
$131.59 / $131.59 / $131.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.75 / $55.75 / $55.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $45.74 / $95.30