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Oregon 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
$285.27 / $285.27 / $497.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.39 / $111.00 / $111.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.95 / $286.36 / $332.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $131.75 / $164.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $279.23 / $301.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.50 / $114.43 / $238.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $114.43 / $154.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.99 / $114.43 / $160.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.50 / $114.43 / $286.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $125.87 / $160.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.26 / $370.52 / $449.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.54 / $136.72 / $282.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $48.06 / $137.32