go back

Oklahoma 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 / $158.49 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $123.03 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $125.89 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $95.50