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Urine Metabolite Index For Pain Assessment

Alaska rates for HCPCS 0117U

Helps assess someone with chronic pain by measuring chemical by-products of the body's metabolism in urine. Eleven substances are measured by mass spectrometry, among them methylmalonic acid, homocysteine, quinolinic acid and kynurenic acid, and they are combined into a single overall index.

Facilitymedian $724 · 10th–90th $501$3,3880%10%20%10th90th$724Professionalmedian $794 · 10th–90th $676$2,6920%50%10th90th$794$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,606.93
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$1,621.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$2,818.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,090.30
Typical High
$3,388.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,905.46
Typical High
$1,905.46
Providence
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$1,513.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$831.76
Typical High
$2,511.89