go back

Connecticut 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
$245.47 / $338.84 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $389.05 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $117.49 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $251.19 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $354.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $407.38