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Missouri 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
$239.88 / $416.87 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $169.82 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $512.86 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $288.40 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $426.58 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $288.40