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West Virginia rates for HCPCS 0110U

Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry with chromatography, serum or plasma from capillary blood or venous blood, quantitative report with steady-state range for the prescribed drug(s) when detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.23 / $33.89 / $40.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $21.96 / $22.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.60 / $152.50 / $731.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $36.60 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.03 / $32.53 / $81.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.39 / $39.24 / $130.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $12.20 / $36.60