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Hawaii 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
$131.83 / $158.49 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $181.97 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $158.49 / $239.88