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New Mexico 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
$185.19 / $370.38 / $740.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.19 / $296.30 / $296.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.50 / $160.50 / $160.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $354.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.57 / $246.92 / $296.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.47 / $246.92 / $246.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $103.71 / $148.15