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Kansas 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
$125.93 / $236.46 / $427.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $99.55 / $114.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $143.04 / $143.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.16 / $187.44 / $259.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $133.06 / $167.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.50 / $86.97 / $199.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $194.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $194.53