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Colorado 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
$192.73 / $240.91 / $421.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $97.27 / $107.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.19 / $341.00 / $524.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $83.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.45 / $100.41 / $294.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $137.32 / $164.68
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.97 / $89.26 / $146.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.67 / $148.76 / $211.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $88.11