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Kentucky 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
$70.79 / $158.49 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $114.82 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $31.62 / $52.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $1,737.80 / $46,773.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $549.54 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $57.54 / $95.50