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New Hampshire 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
$158.49 / $158.49 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $120.23 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $194.98 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $109.65 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $95.50