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North Carolina 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
$194.98 / $776.25 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $741.31 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $389.05 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $380.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $199.53 / $245.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $123.03 / $245.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90