go back

Connecticut 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
$82.33 / $153.62 / $296.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $80.09 / $105.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.73 / $109.85 / $245.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $68.65 / $89.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $114.55 / $383.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.47 / $119.63 / $149.53
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $67.51 / $91.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.89 / $95.89 / $95.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $68.66 / $200.81