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Test Telling Apart Mirror-Image Forms of a Drug

Montana rates for HCPCS 80374

A laboratory test that separates the two mirror-image forms of a drug in a sample. Some substances exist in a pair of forms that are chemically identical but built the opposite way round, and an ordinary test cannot tell them apart. Distinguishing them can show whether a positive result comes from a legitimate medicine or from a different substance that breaks down to look the same.

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $40$780%50%10th90th$43Professionalmedian $43 · 10th–90th $10$440%50%10th90th$43$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$25.12
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$43.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$43.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$147.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.23
Typical High
$22.39