| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Aetna
| Professional | $120.23 | $131.83 | $147.91 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
United
| Professional | $63.10 | $89.13 | $331.13 |
Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with chromatography, capillary blood, quantitative report with therapeutic and toxic ranges, including steady-state range for the prescribed dose when detected, per date of service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Aetna
| Professional | $120.23 | $131.83 | $147.91 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
United
| Professional | $63.10 | $89.13 | $331.13 |