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Arkansas rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $125.89 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $158.49