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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
$95.50 / $162.18 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $81.28 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $120.23 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $79.43 / $144.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $131.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $1,778.28 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $74.13 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $131.83 / $165.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $89.13 / $323.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $120.23 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $58.88 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $114.82