go back

Mississippi 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
$89.10 / $200.95 / $565.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.22 / $90.40 / $112.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.22 / $57.22 / $71.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.05 / $113.05 / $113.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.05 / $113.05 / $113.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $78.09 / $95.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $60.16 / $149.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $48.06 / $178.35