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Tennessee 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
$120.23 / $125.89 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $123.03 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $331.13 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $245.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $109.65 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $158.49