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Kentucky 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 / $338.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $199.53 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $245.47 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $45.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $4,365.16 / $46,773.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $245.47