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Pennsylvania 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $126.75 / $158.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $126.75 / $158.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $114.43 / $125.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.70 / $114.43 / $125.87