go back

Minnesota 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
$397.10 / $420.85 / $1,282.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $101.78 / $135.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.96 / $156.59 / $180.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.27 / $156.59 / $156.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.69 / $575.54 / $1,373.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.14 / $207.65 / $210.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.01 / $544.91 / $1,081.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.50 / $163.50 / $222.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.59 / $248.75 / $743.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $99.75 / $332.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $99.75 / $333.48