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Michigan 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
$181.97 / $181.97 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $281.84 / $354.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $489.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $302.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $234.42 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $131.83