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Urine Metabolite Index For Pain Assessment

Texas 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 $1,000 · 10th–90th $501$3,8020%10%10th90th$1,000Professionalmedian $631 · 10th–90th $457$8320%10%20%10th90th$631$100.0$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
$501.19
Median
$1,202.26
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Christus
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,698.24
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,288.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$1,479.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$831.76
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$436.52
Typical High
$831.76