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Pennsylvania 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
$204.17 / $407.38 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $128.82 / $186.21
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $245.47 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $229.09
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $275.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $407.38 / $691.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $562.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $162.18 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $239.88