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Georgia 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
$49.90 / $496.39 / $994.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $108.05 / $146.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.30 / $93.95 / $156.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.17 / $170.04 / $541.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $45.77 / $140.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.31 / $156.59 / $250.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.78 / $101.78 / $156.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.04 / $203.56 / $366.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.33 / $82.33 / $216.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.59 / $172.25 / $791.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.88 / $258.37 / $310.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $65.77 / $156.59