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Alaska rates for HCPCS 0116U

Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug interactions for prescribed medications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,905.46 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $245.47 / $1,122.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $794.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $912.01 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $549.54 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $204.17 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $489.78 / $741.31