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Kansas 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
$61.63 / $228.88 / $850.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $74.38 / $95.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $68.66 / $71.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.04 / $49.43 / $73.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.70 / $93.70 / $132.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $103.39 / $478.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $119.63 / $151.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $99.55 / $350.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.96 / $65.91 / $84.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.96 / $65.91 / $68.66