go back

Tennessee 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
$153.03 / $268.77 / $795.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.28 / $153.03 / $174.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.93 / $160.50 / $246.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.56 / $384.70 / $692.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $236.24 / $354.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.64 / $1,172.86 / $1,172.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $116.23 / $246.92