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Ohio 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
$91.54 / $155.11 / $352.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.04 / $125.87 / $202.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $67.95 / $125.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.82 / $148.76 / $2,677.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.71 / $250.37 / $3,168.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.37 / $88.31 / $325.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.75 / $131.75 / $164.68
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.75 / $88.31 / $331.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.75 / $55.75 / $55.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $51.49 / $137.32