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Ohio 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
$197.54 / $345.70 / $760.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.54 / $197.54 / $197.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.03 / $271.61 / $436.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $215.23 / $320.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.19 / $321.00 / $5,777.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $539.62 / $6,829.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.32 / $199.44 / $701.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.91 / $283.73 / $354.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.91 / $199.44 / $748.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.91 / $125.91 / $125.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $116.23 / $296.30