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South Carolina 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
$80.09 / $89.26 / $542.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.26 / $91.54 / $99.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $120.15 / $156.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.97 / $331.73 / $652.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $131.75 / $164.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $91.54 / $122.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $114.43 / $114.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $137.32