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Vermont 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
Professional
Modifier
Low / Median / High Price
$306.18 / $306.18 / $306.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.29 / $413.29 / $413.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $283.73 / $354.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.29 / $413.29 / $413.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $283.73 / $354.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.25 / $148.15 / $345.69