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Missouri 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
$186.21 / $338.84 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $141.25 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $416.87 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $288.40 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $426.58 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $234.42 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $234.42