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Arizona 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
$225.00 / $307.61 / $985.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.44 / $165.44 / $165.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.13 / $543.36 / $903.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.02 / $208.02 / $296.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.32 / $314.77 / $566.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.29 / $236.24 / $354.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.67 / $181.98 / $1,172.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $86.36 / $135.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $86.36 / $135.81