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Washington 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
$151.36 / $724.44 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $354.81 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $223.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $281.84 / $478.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $190.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $239.88 / $436.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $144.54 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $190.55 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $288.40