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Rhode Island 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
$1,419.79 / $1,419.79 / $1,419.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.72 / $202.47 / $202.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $506.32 / $562.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.44 / $730.44 / $730.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $354.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.42 / $148.15 / $356.13