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Connecticut 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
$75.23 / $114.43 / $261.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $75.23 / $80.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.52 / $167.93 / $283.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $68.65 / $128.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $316.86 / $655.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $67.51 / $129.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $70.65 / $200.81