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Oklahoma 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
$64.57 / $114.82 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $75.86 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $131.83 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $75.86 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $57.54