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Nationwide rates for HCPCS G0482

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;15-21 Drug Class(Es) Including Metabolites(S)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $260.88 / $596.22	Facility	$162.97	$260.88	$596.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $169.22 / $198.74	Professional	$130.86	$169.22	$198.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $215.81 / $687.64	Facility	$192.32	$215.81	$687.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $107.92 / $161.22	Professional	$45.77	$107.92	$161.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $239.82 / $549.02	Facility	$101.78	$239.82	$549.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $190.12 / $259.22	Professional	$60.16	$190.12	$259.22
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $99.62 / $218.61	Professional	$74.70	$99.62	$218.61

Nationwide rates for HCPCS G0482

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