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Oregon 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
$156.59 / $326.27 / $955.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $104.54 / $148.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.45 / $412.21 / $454.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $82.33 / $204.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.59 / $381.79 / $411.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.45 / $156.59 / $326.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $156.59 / $212.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.59 / $164.42 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.91 / $207.48 / $454.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.47 / $172.25 / $219.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.35 / $476.50 / $614.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.24 / $142.50 / $385.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.66 / $65.77 / $187.91