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Georgia 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
$121.50 / $271.89 / $271.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.51 / $74.62 / $91.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.86 / $105.42 / $348.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.32 / $45.77 / $102.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.01 / $114.43 / $183.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.50 / $251.75 / $251.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.65 / $130.61 / $164.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.87 / $131.59 / $148.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $53.37 / $114.43