go back

Arkansas 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
$259.08 / $259.08 / $429.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.38 / $259.08 / $259.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.91 / $253.08 / $385.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $354.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.07 / $185.07 / $185.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $116.23 / $194.86