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North Carolina rates for HCPCS 0143U

Drug assay, definitive, 120 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metabolite description, comments including sample validation, per date of service

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $57.54 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $169.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84