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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
$55.93 / $293.07 / $384.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.01 / $49.09 / $71.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.11 / $54.63 / $171.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $71.45 / $89.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.14 / $71.45 / $113.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $48.70 / $52.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $26.10 / $37.28