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Tennessee 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 / $158.77 / $321.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $89.26 / $97.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $74.38 / $183.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.50 / $246.78 / $327.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $139.59 / $174.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.11 / $543.54 / $543.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $114.43