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North Carolina rates for HCPCS 0147U

Drug assay, definitive, 85 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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $51.46 / $51.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.92 / $165.92 / $199.11