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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
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $70.79 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $51.29 / $128.82