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North Dakota 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
$172.84 / $172.84 / $444.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.84 / $172.84 / $172.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.49 / $497.54 / $558.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $286.57 / $360.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.84 / $293.83 / $1,172.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $246.92 / $419.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $125.93 / $358.03