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New York 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
$130.76 / $279.91 / $455.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.17 / $87.17 / $135.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $9.64 / $110.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.94 / $337.90 / $558.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.79 / $229.73 / $770.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.94 / $282.00 / $359.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.98 / $94.37 / $299.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.18 / $151.94 / $179.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.94 / $339.25 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.97 / $159.94 / $329.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.97 / $103.97 / $103.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.18 / $91.78 / $239.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.34 / $183.94 / $183.94
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.18 / $151.94 / $192.25