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Massachusetts 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
$86.09 / $312.32 / $656.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $101.78 / $128.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.84 / $215.55 / $743.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $122.99 / $381.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.94 / $343.87 / $622.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $147.19 / $155.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.07 / $109.42 / $305.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $163.50 / $216.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.91 / $225.91 / $265.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.10 / $252.58 / $409.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.86 / $152.94 / $178.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $743.80 / $743.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $93.95 / $215.23
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.84 / $167.55 / $255.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.64 / $93.95 / $184.49