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South Carolina 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
$173.78 / $602.56 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $630.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $223.87 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $269.15