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Massachusetts rates for HCPCS G0483

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;22 Or More Drug Class(Es) Including Metabolites(S

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.66 / $492.51 / $752.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.66 / $176.89 / $283.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.71 / $339.89 / $1,172.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.25 / $215.23 / $601.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.94 / $541.50 / $980.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.23 / $232.10 / $244.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.95 / $160.50 / $481.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $257.63 / $341.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.13 / $356.13 / $418.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.88 / $398.28 / $645.72
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $241.18 / $241.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.64 / $1,172.86 / $1,172.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.77 / $148.15 / $376.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.77 / $148.15 / $322.85