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Illinois 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
$251.19 / $426.58 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $331.13 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $457.09 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $446.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $245.47