go back

Oklahoma 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
$85.82 / $172.56 / $274.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $74.38 / $95.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $68.66 / $71.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.66 / $105.71 / $140.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $108.71 / $108.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $74.38 / $148.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $60.16 / $149.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.40 / $107.56 / $543.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $48.06 / $114.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $48.06 / $68.66