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Idaho 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
$446.68 / $446.68 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $457.09 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $512.86 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $323.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $478.63 / $891.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $257.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $295.12