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Urine Metabolite Index For Pain Assessment

Indiana 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 $1,259 · 10th–90th $832$2,7540%20%40%10th90th$1,259Professionalmedian $692 · 10th–90th $513$1,0000%20%10th90th$692$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$977.24
Median
$1,318.26
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,511.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$12,302.69
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,584.89
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$933.25