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Minnesota 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
$107.56 / $107.56 / $107.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $91.54 / $107.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.00 / $114.43 / $114.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $114.43 / $114.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.95 / $428.83 / $1,002.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $167.32 / $219.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.46 / $381.11 / $789.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $208.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $211.70 / $543.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $72.89 / $242.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $91.54 / $243.70