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Idaho 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
$346.74 / $346.74 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $181.97 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $407.38 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $213.80 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $407.38 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $323.59 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $295.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $457.09 / $891.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $257.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $245.47