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Tennessee 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
$149.06 / $275.76 / $626.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.01 / $157.00 / $198.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.37 / $99.37 / $99.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.26 / $166.03 / $198.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.04 / $202.64 / $581.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $60.16 / $259.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.98 / $944.02 / $944.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.87 / $178.87 / $178.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $99.62 / $198.74