go back

Maine 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
$245.47 / $245.47 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $190.55 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $288.40 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $117.49 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $245.47 / $302.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $199.53 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $371.54