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Arizona 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
$123.03 / $323.59 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $288.40 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $123.03 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $120.23 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $128.82