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Washington 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
$80.62 / $386.82 / $750.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.51 / $80.62 / $80.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.64 / $178.51 / $543.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $85.82 / $139.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.20 / $182.32 / $221.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.99 / $125.87 / $200.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.77 / $128.66 / $235.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.19 / $90.06 / $121.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $183.09 / $314.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $114.43 / $308.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $36.02 / $102.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $51.49 / $59.27