go back

Louisiana 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
$263.03 / $354.81 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $489.78 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $457.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $223.87 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $263.03