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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
$46.77 / $57.54 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $89.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $77.62 / $186.21
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $186.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $61.66