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South Carolina 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
$115.91 / $139.12 / $848.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $172.90 / $198.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.37 / $99.37 / $99.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.53 / $1,223.53 / $1,307.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $147.54 / $239.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $489.59 / $1,133.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $60.16 / $259.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.04 / $170.92 / $255.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.03 / $166.03 / $166.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.31 / $109.31 / $157.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $113.36 / $238.49