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Virginia 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
$97.27 / $217.19 / $283.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $97.27 / $97.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.61 / $557.27 / $703.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $31.92 / $63.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $331.10 / $585.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $131.75 / $164.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $143.04 / $169.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.50 / $75.52 / $114.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.83 / $93.83 / $114.43
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $132.74 / $279.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $132.74 / $279.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $57.22 / $163.63