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Arizona 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.10 / $304.07 / $792.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.57 / $198.74 / $989.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.18 / $437.34 / $727.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.11 / $167.43 / $238.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.52 / $280.32 / $581.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $60.16 / $274.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.74 / $170.92 / $944.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $83.47 / $119.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $83.47 / $119.24