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Vermont 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
Professional
Modifier
Low / Median / High Price
$205.88 / $205.88 / $205.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.74 / $198.74 / $198.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.64 / $332.64 / $332.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $207.38 / $259.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.64 / $332.64 / $332.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.52 / $207.38 / $259.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.81 / $119.24 / $255.41