| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $17.03 | $17.03 | $17.03 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (eg, immunoassay) capable of being read by direct optical observation, including
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $17.03 | $17.03 | $17.03 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |