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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
$190.55 / $489.78 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $446.68 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $190.55 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $234.42 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $181.97 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $234.42 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $147.91