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Alabama rates for HCPCS 0328U

Drug assay, definitive, 120 or more drugs and metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS), includes specimen validity and algorithmic analysis describing drug or metabolite and presence or absence of risks for a significant patient-adverse event, per date of service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $133.88 / $228.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $133.88 / $133.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.07 / $177.26 / $238.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.65 / $74.25 / $83.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $96.69 / $358.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $114.43