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Urine Metabolite Index For Pain Assessment

Virginia 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 $1,148 · 10th–90th $631$3,5480%10%10th90th$1,148Professionalmedian $661 · 10th–90th $562$9330%20%10th90th$661$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
$1,584.89
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,621.81
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$954.99
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,778.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$2,137.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,905.46
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
$416.87
Typical High
$831.76