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Nebraska 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
$204.17 / $223.87 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $75.86 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $173.78 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $107.15 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $81.28 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $51.29 / $125.89