go back

Nebraska 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
$323.59 / $426.58 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $245.47 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $309.03 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $190.55 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $144.54 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $95.50 / $177.83