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Idaho 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
$208.72 / $208.72 / $297.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $223.14 / $223.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.28 / $446.28 / $446.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.67 / $131.75 / $164.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.71 / $223.14 / $236.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $114.43 / $137.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.65 / $228.86 / $411.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.27 / $171.14 / $176.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $137.32