| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.68 | $84.68 | $93.83 | |
BCBS
| Facility | $140.75 | $140.75 | $140.75 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $40.04 | $68.66 | $165.04 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.68 | $84.68 | $93.83 | |
BCBS
| Facility | $140.75 | $140.75 | $140.75 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $40.04 | $68.66 | $165.04 |