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Alaska rates for HCPCS 0093U

Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.13 / $428.83 / $728.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.17 / $208.17 / $208.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.66 / $171.66 / $171.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $71.45 / $89.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $50.33 / $77.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $62.14 / $248.56
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.49 / $229.92 / $248.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $93.21 / $248.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.01 / $50.33 / $113.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $62.14 / $170.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.96 / $124.28 / $187.49