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Urine Metabolite Index For Pain Assessment

Montana 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 $1,047 · 10th–90th $832$2,5700%20%40%10th90th$1,047Professionalmedian $794 · 10th–90th $589$1,0470%20%10th90th$794$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$758.58
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$831.76