| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $186.20 | $231.00 | $477.00 | |
Cigna
| Facility | $297.99 | $297.99 | $297.99 | |
United
| Professional | $62.56 | $69.52 | $165.52 |
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 |
|---|---|---|---|---|---|
BCBS
| Professional | $186.20 | $231.00 | $477.00 | |
Cigna
| Facility | $297.99 | $297.99 | $297.99 | |
United
| Professional | $62.56 | $69.52 | $165.52 |