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Prescribed Medicine Blood Level

West Virginia rates for HCPCS 80210

A blood test that measures how much of a particular prescribed medicine is present in the bloodstream. The result lets the prescriber confirm the dose is in the range where it works without reaching a level that causes side effects.

Rates data updated October 2026.

How much does Prescribed Medicine Blood Level cost?

$22.39

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $39.81 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.22$12.30 to $38.90
FacilityA hospital or hospital-owned outpatient department$39.81$26.30 to $67.61

How much rates vary

Facilitymedian $40 · 10th to 90th $22 to $81Professionalmedian $16 · 10th to 90th $11 to $50
$10$20$50$100facility $40professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$22.39
Typical High
$22.39
CareSource
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
CareSource
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$52.48
Typical High
$81.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$38.90
Typical High
$131.83
United
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.49
Typical High
$50.12

Where West Virginia sits

The same service costs 4.0 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 28th of 51

$22.39

AK $61.66AL $15.49

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.