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Montana 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
Professional
Modifier
Low / Median / High Price
$71.45 / $71.45 / $71.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.10 / $90.10 / $90.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $89.31 / $90.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.10 / $90.10 / $90.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $62.14 / $77.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $26.10 / $62.14