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Oklahoma 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
$186.21 / $245.47 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $190.55 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $204.17 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $147.91