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Vermont 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
Professional
Modifier
Low / Median / High Price
$98.96 / $98.96 / $98.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $104.00 / $104.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $64.88 / $81.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $104.00 / $104.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.39 / $64.88 / $81.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $37.28 / $111.73