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Indiana 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
$181.97 / $251.19 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $2,344.23 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $181.97 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $158.49