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Hawaii 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
$51.29 / $61.66 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $61.66 / $93.33