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Iowa 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 / $302.00 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $125.89 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $309.03 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $190.55 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $346.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $158.49