go back

Florida 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
$74.38 / $97.27 / $495.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $74.38 / $82.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.48 / $79.08 / $430.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $139.59 / $174.49
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $68.66 / $135.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $114.43 / $171.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $48.06 / $148.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.27 / $68.66 / $68.66