go back

Ohio 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
$234.42 / $363.08 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $53.70 / $257.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $281.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $3,890.45 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $354.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $257.04 / $524.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $162.18 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $245.47