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Maine 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
$246.92 / $246.92 / $524.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.66 / $187.66 / $246.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.94 / $299.93 / $853.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $160.49 / $160.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.17 / $413.17 / $413.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $354.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.92 / $246.92 / $299.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.92 / $246.92 / $400.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.92 / $246.92 / $246.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $123.38 / $298.16