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Washington, DC 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
$85.82 / $85.82 / $700.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $85.82 / $85.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.95 / $193.39 / $415.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.60 / $232.60 / $232.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $104.13