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Texas 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
$162.18 / $354.81 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $269.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $446.68 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $380.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $245.47 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $245.47 / $602.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $117.49 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $245.47