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Arizona 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.01 / $265.37 / $716.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $80.09 / $105.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.25 / $71.52 / $80.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.02 / $239.02 / $418.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.28 / $96.41 / $137.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.39 / $185.95 / $334.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $60.16 / $158.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.34 / $108.71 / $543.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $48.06 / $68.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $48.06 / $68.66