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New Mexico 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
$85.82 / $178.80 / $343.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $143.04 / $143.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.50 / $108.71 / $143.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.83 / $114.43 / $114.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $76.67