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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
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $954.99 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $478.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,778.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $363.08 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $245.47 / $549.54