go back

Illinois 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
$52.48 / $250.23 / $430.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $101.78 / $135.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $93.95 / $93.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $47.77 / $255.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $89.26 / $101.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.42 / $374.55 / $720.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.33 / $167.55 / $216.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $220.79 / $548.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.57 / $203.57 / $203.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.30 / $86.12 / $156.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $73.79 / $156.59