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Oregon rates for HCPCS 0149U

Drug assay, definitive, 60 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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.59 / $131.59 / $143.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.88 / $244.88 / $244.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.49 / $102.92 / $126.94