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Oklahoma rates for HCPCS G0659

Drug Test(S) Definitive Utilizing Drug Identification Methods Able To Identify Individualdrugs And Distinguish Between Structural Isomers Including But Not Limited To Gc/Ms And Lc/Ms Performed W/O Method Or Drug-Specific Calibration W/O Matrix-Matched Quality Control Material Or W/O Use Of Stable Isotope Or Other Universally Recognized Internal Standard(S) For Each Drug Drug Metabolite Or Drug Class Per Specimen; Quali-Tative Or Quantitative Per Day Any Number

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $62.14 / $192.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $45.98 / $46.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $96.83 / $140.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $59.03 / $59.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.39 / $43.43 / $80.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $32.68 / $81.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.33 / $50.95 / $208.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $33.52 / $64.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $31.07 / $40.39