| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,999.58 | $55,999.44 | $83,999.17 | |
CareSource
| Professional | $42,349.58 | $104,998.95 | $104,998.95 | |
Cigna
| Professional | $126.75 | $126.75 | $158.44 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,999.58 | $55,999.44 | $83,999.17 | |
CareSource
| Professional | $42,349.58 | $104,998.95 | $104,998.95 | |
Cigna
| Professional | $126.75 | $126.75 | $158.44 |