go back

South Carolina 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
$112.20 / $398.11 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $169.82 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $398.11 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $138.04 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $177.83