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Rhode Island 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
$147.81 / $353.28 / $936.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $101.78 / $125.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.69 / $166.93 / $192.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.21 / $117.44 / $117.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.12 / $415.61 / $492.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $163.50 / $204.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.81 / $89.00 / $232.20