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Indiana 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
$85.11 / $177.83 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $67.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $1,659.59 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $131.83 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $85.11 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $52.48 / $85.11