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Arizona 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
$190.55 / $489.78 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $446.68 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $239.88 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $208.93 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $158.49