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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
$225.00 / $363.96 / $985.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.44 / $165.44 / $165.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.13 / $543.36 / $903.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.02 / $208.02 / $296.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.29 / $401.25 / $722.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $301.08 / $376.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.44 / $204.94 / $1,172.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $103.71 / $148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $103.71 / $148.15