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Nebraska 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
$489.78 / $645.65 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $302.00 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $295.12 / $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
$112.20 / $223.87 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $269.15