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Alaska rates for HCPCS 0051U

Prescription drug monitoring, evaluation of drugs present by liquid chromatography tandem mass spectrommetry (LC-MS/MS), urine or blood, 31 drug panel, reported as quantitative results, detected or not detected, per date of service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $186.21 / $1,122.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $741.31 / $977.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $912.01 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $158.49 / $354.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $186.21 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $389.05 / $588.84