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Hawaii 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
$204.17 / $245.47 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $245.47 / $371.54