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Urine Metabolite Index For Pain Assessment

Oregon 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$1,1750%50%90th$832Professionalmedian $794 · 10th–90th $457$1,0000%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
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,715.35
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$2,137.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$1,000.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$1,148.15
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$891.25
Typical High
$1,047.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,454.71
Typical High
$3,311.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,000.00
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,000.00