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Georgia 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
$162.18 / $223.87 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $269.15 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $537.03 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $281.84 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $223.87 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $354.81