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Tennessee 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 / $194.98 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $316.23 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $380.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $169.82 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $245.47