go back

North Dakota 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
$60.04 / $60.04 / $205.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $80.62 / $80.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.23 / $230.58 / $258.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $133.06 / $167.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.04 / $114.43 / $543.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $95.30 / $145.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $57.22 / $137.32