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North Carolina 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
$125.89 / $125.89 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.54 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $251.19 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $245.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $95.50 / $158.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $79.43 / $158.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58