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Massachusetts 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
$55.96 / $200.23 / $486.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.96 / $80.09 / $95.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.69 / $157.51 / $543.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.96 / $79.94 / $278.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.94 / $251.38 / $455.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $107.56 / $113.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.70 / $81.81 / $223.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $119.63 / $158.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.23 / $165.23 / $194.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.27 / $184.58 / $299.25
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.35 / $121.26 / $165.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $543.54 / $543.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $68.66 / $139.90
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.47 / $116.72 / $254.48
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.69 / $73.20 / $171.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $68.66 / $429.69