go back

Delaware 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
$131.59 / $131.59 / $131.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.40 / $94.98 / $94.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $54.93 / $114.43