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Texas 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
$146.44 / $345.20 / $951.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.10 / $147.22 / $147.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.58 / $246.92 / $246.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.92 / $246.92 / $246.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.50 / $386.28 / $863.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $236.24 / $354.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.20 / $1,172.86 / $1,172.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.85 / $246.92 / $259.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.88 / $246.92 / $246.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.58 / $246.92 / $355.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $190.13 / $216.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $86.36 / $123.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $75.55 / $246.92