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Urine Metabolite Index For Pain Assessment

Arizona 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 $1,288 · 10th–90th $562$4,1690%5%10%10th90th$1,288Professionalmedian $661 · 10th–90th $457$8130%10%20%10th90th$661$500.0$1.0K$2.0K$5.0K

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
$645.65
Median
$1,698.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,398.83
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$831.76