go back

Connecticut rates for HCPCS G0481

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;8-14 Drug Class(Es) Including Metabolites(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.76 / $204.19 / $630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $109.61 / $146.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.66 / $161.24 / $347.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $94.73 / $138.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.12 / $130.47 / $439.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.28 / $163.50 / $204.38
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.03 / $72.03 / $92.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $96.68 / $326.95