go back

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
$349.61 / $349.61 / $641.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.09 / $182.09 / $182.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.87 / $205.23 / $755.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.49 / $283.73 / $354.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.09 / $377.73 / $400.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.92 / $259.27 / $296.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.64 / $484.28 / $888.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.88 / $299.38 / $369.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $86.36 / $246.76