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New York 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
$93.54 / $200.25 / $326.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $62.36 / $97.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $31.92 / $87.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.32 / $241.74 / $400.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $164.68 / $551.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $148.76 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $68.09 / $213.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $108.71 / $133.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.32 / $242.94 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $114.43 / $235.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $65.66 / $168.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.86 / $131.59 / $131.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $114.43 / $137.54