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Virginia rates for HCPCS 0093U

Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected

Facilitymedian $66 · 10th–90th $46–$2450%20%10th90th$66Professionalmedian $46 · 10th–90th $41–$590%50%10th90th$46$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $131.83 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $45.71 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $120.23 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $70.79 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $74.13 / $91.20
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $75.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $131.83
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $77.62 / $257.04
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $77.62 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $61.66