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South Carolina 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
$151.36 / $602.56 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $630.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $281.84 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $181.97 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $223.87 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $213.80