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Nationwide rates for HCPCS G0480

Drug Test(S) Definitive Utilizing (1) Drug Identification Methods Able To Identify Individualdrugs And Distinguish Between Structural Isomers Including But Not Limited To Gc/Ms And Lc/Ms (2) Stable Isotope Or Other Universally Recognized Internal Standards In All Samples And (3) Method Or Drug-Specific Calibration And Matrix-Matched Quality Control Material; Qualitative Or Quantita-Tive Includes Specimen Validity Testing Per Day;1-7 Drug Class(Es) Including Metabolites(S)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $198.90 / $484.50	Facility	$67.31	$198.90	$484.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $95.76	Professional	$56.88	$80.09	$95.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.73 / $120.15 / $395.93	Facility	$110.73	$120.15	$395.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $63.44 / $89.87	Professional	$32.61	$63.44	$89.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $170.77 / $334.71	Facility	$74.38	$170.77	$334.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $108.67 / $149.53	Professional	$60.16	$108.67	$149.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $48.06 / $117.86	Professional	$39.97	$48.06	$117.86

Nationwide rates for HCPCS G0480

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