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Urine Metabolite Index For Pain Assessment

Connecticut 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 $1,148 · 10th–90th $832$2,2910%20%40%10th90th$1,148Professionalmedian $589 · 10th–90th $457$8910%20%10th90th$589$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
$831.76
Median
$831.76
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,511.89
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$1,479.11