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Utah 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
$54.95 / $302.00 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $48.98 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $54.95 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $89.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $74.13 / $288.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $52.48 / $56.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $177.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $54.95 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $50.12