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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
$203.71 / $230.87 / $296.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.30 / $296.30 / $296.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.57 / $278.32 / $332.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.92 / $296.30 / $370.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $296.30 / $370.38