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Kentucky 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 / $218.78 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $10.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $2,398.83 / $46,773.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $776.25 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $158.49