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Urine Metabolite Index For Pain Assessment

Nebraska 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 $1,698 · 10th–90th $501$4,1690%10%10th90th$1,698Professionalmedian $631 · 10th–90th $501$1,2880%20%40%10th90th$631$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
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,621.81
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$549.54
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$933.25