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Definitive Test For Fentanyl

West Virginia rates for HCPCS 80354

Identifies fentanyl, a very strong synthetic opioid, in a sample such as urine. Standard opioid screens do not detect it, so a test aimed specifically at fentanyl is needed to establish whether it is present. It is used in pain management monitoring and where exposure to illicit fentanyl is a concern.

Rates data updated July 2026.

How much does Definitive Test For Fentanyl cost?

$13.49

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $51.29 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$12.59$10.47 to $20.42
FacilityA hospital or hospital-owned outpatient department$51.29$50.12 to $51.29

How much rates vary

Facilitymedian $51 · 10th to 90th $2 to $102Professionalmedian $13 · 10th to 90th $9 to $38
$2$5$10$20$50$100facility $51professional $13

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. 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
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$50.12
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$34.67
Typical High
$114.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$165.96
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$25.70

Where West Virginia sits

The same service costs 2630.3 times more in North Dakota than in Pennsylvania. 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· 33rd of 51

$13.49

ND $79.43PA $0.03

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.