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North Carolina 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
$67.61 / $269.15 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $288.40 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $181.97 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $131.83 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $69.18 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $112.20 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $47.86 / $95.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54