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Blood Test To Monitor A Specific Medication Level

West Virginia rates for HCPCS 80202

This blood test measures the level of a specific medication in the body. It is used to make sure the amount of the drug in a person's system is within a safe and effective range.

Rates data updated July 2026.

How much does Blood Test To Monitor A Specific Medication Level cost?

$93.33

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $112 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.72$10.23 to $12.88
FacilityA hospital or hospital-owned outpatient department$112$81.28 to $158

How much rates vary

Facilitymedian $112 · 10th to 90th $34 to $170Professionalmedian $11 · 10th to 90th $8 to $16
$5.0$10.0$20.0$50.0$100.0$200.0facility $112professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$112.20
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.22
Typical High
$15.85
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$25.70
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$26.30
Typical High
$64.57
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$223.87
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.94
Typical High
$17.78

Where West Virginia sits

The same service costs 7.4 times more in West Virginia than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $93.33 · 1st of 51
WV $93.33KY $12.59

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.