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South Carolina 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
$43.50 / $48.47 / $294.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $48.47 / $54.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.01 / $398.01 / $425.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $62.14 / $84.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.93 / $180.14 / $415.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $51.77 / $81.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $55.93 / $82.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $79.81 / $79.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $49.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $37.28 / $74.56