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Vermont 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
Professional
Modifier
Low / Median / High Price
$254.98 / $254.98 / $254.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.22 / $324.22 / $324.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $354.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.22 / $324.22 / $324.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $283.73 / $354.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.25 / $123.38 / $287.88