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Illinois 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
$87.10 / $177.83 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $154.88 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $223.87 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $1,819.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $288.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $114.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $52.48 / $91.20