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West Virginia 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
$202.47 / $308.64 / $370.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.19 / $200.01 / $202.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.34 / $1,388.93 / $6,666.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.30 / $333.34 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.63 / $296.30 / $740.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $354.66 / $1,190.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $123.46 / $447.02