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Indiana rates for HCPCS 0145U

Drug assay, definitive, 65 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
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,749.56 / $52,499.48 / $65,624.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,749.62 / $36,749.62 / $36,749.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $140.13 / $158.44