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Minnesota 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
Professional
Modifier
Low / Median / High Price
$172.84 / $190.13 / $229.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.51 / $246.92 / $246.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.54 / $246.92 / $246.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.91 / $907.88 / $2,166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.57 / $360.34 / $474.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.21 / $823.37 / $1,705.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $448.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.92 / $392.25 / $1,172.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $157.29 / $523.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $157.29 / $525.86