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Michigan 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
$234.42 / $234.42 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $380.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $588.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $239.88 / $331.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $158.49