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New Hampshire 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
$630.96 / $630.96 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $478.63 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $707.95 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $281.84 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $426.58 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $117.49 / $380.19