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Urine Metabolite Index For Pain Assessment

Maine 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 $832 · 10th–90th $832$1,3490%50%90th$832Professionalmedian $661 · 10th–90th $550$8510%20%10th90th$661$500.0$2.0K$10.0K$50.0K

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
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,023.29
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,479.11