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Ohio 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
$127.96 / $300.70 / $492.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.77 / $127.96 / $127.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $9.64 / $117.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.96 / $207.94 / $4,257.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.04 / $349.37 / $4,421.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.76 / $181.95 / $926.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.79 / $183.79 / $229.73
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.76 / $103.97 / $926.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.98 / $159.94 / $159.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.18 / $95.97 / $209.53