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Urine Metabolite Index For Pain Assessment

Oklahoma 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 $617$2,5120%10%10th90th$832Professionalmedian $631 · 10th–90th $355$8320%20%10th90th$631$200.0$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
$630.96
Median
$831.76
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$758.58
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$501.19