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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
$83.18 / $147.91 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $63.10 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $194.98 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $199.53 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $57.54 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $102.33 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $57.54 / $104.71