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Maine 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
$246.92 / $246.92 / $524.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.63 / $200.01 / $201.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.94 / $329.64 / $1,539.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.77 / $98.77 / $182.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.99 / $333.99 / $333.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $60.16 / $322.02
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.86 / $251.86 / $648.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.92 / $285.69 / $438.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.92 / $246.92 / $400.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.63 / $200.01 / $270.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.13 / $148.15 / $312.08