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Urine Metabolite Index For Pain Assessment

West 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 $1,259 · 10th–90th $692$1,2590%50%10th$1,259Professionalmedian $661 · 10th–90th $501$1,0000%20%40%10th90th$661$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
$691.83
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,000.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,348.96
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$831.76