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
$144.54 / $154.88 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $151.36 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $251.19 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $234.42 / $354.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $131.83 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $204.17