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Maryland 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
$41.91 / $94.38 / $495.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $80.09 / $95.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.39 / $91.54 / $114.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $72.48 / $148.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $60.16 / $149.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $143.04 / $171.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $51.49 / $74.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $41.00 / $90.97