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Oregon 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
$57.99 / $198.65 / $484.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $80.09 / $105.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.95 / $301.24 / $332.48
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 / $279.23 / $301.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $114.43 / $238.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $114.43 / $155.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.43 / $120.15 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.32 / $151.62 / $331.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $125.87 / $160.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.14 / $348.21 / $449.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.96 / $104.13 / $282.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $48.06 / $137.32