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Mississippi 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
$97.34 / $185.92 / $696.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.52 / $114.04 / $299.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.80 / $174.80 / $174.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $174.80 / $174.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.78 / $106.87 / $131.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $82.33 / $204.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $73.79 / $234.89