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Missouri 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
$83.84 / $137.32 / $198.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.62 / $74.62 / $98.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $120.15 / $528.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $57.18 / $169.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.63 / $210.63 / $244.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $133.06 / $164.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.90 / $148.76 / $543.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $57.18 / $107.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $57.18 / $137.32