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Oklahoma 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
$115.88 / $187.91 / $584.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $101.78 / $128.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $78.30 / $93.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $95.51 / $140.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.76 / $148.76 / $148.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.12 / $102.92 / $156.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $82.33 / $204.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.04 / $134.66 / $743.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.66 / $65.77 / $156.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.66 / $65.77 / $93.95