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Please select your state/locality before continuing:
| Acetaminophen (DAT) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Acetaminophen (Tox Serum) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Amikacin, quant. |
80150 |
Amikacin
|
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$21.35 |
| Amphetamines (DAT) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Amphetamines (TOX Serum) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Barbiturates (DAT) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Barbiturates (Tox Serum) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Benzodiazepine (DAT) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Benzodiazepine (TOX Serum) |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Caffeine, quant. |
80299 |
Quantitation of drug, not elsewhere specified
|
|
$19.40 |
| Cannabinoid |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Carbamazepine, quant. |
80156 |
Carbamazepine; total
|
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$20.62 |
| Chromate |
84999 |
Unlisted chemistry procedure
|
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$0.00 |
| Cocaine Metabolite |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Creatinine |
82570 |
Creatinine; other source
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$7.33 |
| Cyclosporine, quant. |
80158 |
Cyclosporine
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$25.57 |
| Digoxin, quant. |
80162 |
Digoxin
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NCD
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$18.80 |
| Disopyramide, quant. |
80299 |
Quantitation of drug, not elsewhere specified
|
|
$19.40 |
| Ecstasy |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Ethosuximide, quant. |
80168 |
Ethosuximide
|
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$23.15 |
| Ethyl Alcohol, quant. |
82055 |
Alcohol (ethanol); any specimen except breath
|
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$15.30 |
| Gentamicin, quant. |
80170 |
Gentamicin
|
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$23.21 |
| Lidocaine, quant. |
80176 |
Lidocaine
|
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$20.80 |
| LSD |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Methadone |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Methamphetamine |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Methaqualone |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Methotrexate, quant. |
80299 |
Quantitation of drug, not elsewhere specified
|
|
$19.40 |
| NAPA (N-Acetylprocainamide), quant. |
80192 |
Procainamide; with metabolites (eg, n-acetyl procainamide)
|
CCI
|
$23.72 |
| Nitrites |
84999 |
Unlisted chemistry procedure
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$0.00 |
| Opiate |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Oxidants |
84999 |
Unlisted chemistry procedure
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$0.00 |
| pH, quant. |
83986 |
pH; body fluid, not otherwise specified
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$5.07 |
| Phenobarbital, quant. |
80184 |
Phenobarbital
|
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$16.22 |
| Phenyclidine |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Phenytoin, quant. |
80185 |
Phenytoin; total
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$18.77 |
| Primidone, quant. |
80188 |
Primidone
|
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$23.51 |
| Procainamide, quant. |
80190 |
Procainamide;
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$23.72 |
| Propoxyphene |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Quinidine, quant. |
80194 |
Quinidine
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$20.68 |
| Salicyclic Acid, quant. |
80196 |
Salicylate
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$10.05 |
| Sirolimus, quant. |
80195 |
Sirolimus
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$19.45 |
| Specific Gravity |
84315 |
Specific gravity (except urine)
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$3.55 |
| Tacrolimus, quant. |
80197 |
Tacrolimus
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$19.45 |
| Theophylline, quant. |
80198 |
Theophylline
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$20.04 |
| Tobramycin, quant. |
80200 |
Tobramycin
|
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$22.83 |
| Tricyclic Antidepressants |
G0431 |
Drug screen multiple class
|
CCI
|
$102.99 |
| Valproic Acid, quant. |
80164 |
Dipropylacetic acid (valproic acid)
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$19.19 |
| Vancomycin, quant. |
80202 |
Vancomycin
|
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$19.19 |
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The information contained in this website has been compiled by CodeMap, L.L.C. who remains solely responsible for its content. The information provided is for general educational purposes only and may not be conclusive or exhaustive. Recent changes in applicable law, regulations and interpretations may not be reflected in the information contained herein. For technical questions, please contact Dr. Charles Root at (800) 522-3285.
CodeMap® has made every reasonable effort to ensure the accuracy of the information contained on this web site. However, the ultimate responsibility for correct coding and claims submission lies with the provider of services. CodeMap® makes no representation, warranty, or guarantee that this compilation of Medicare information is error-free or that the use of this information will result in Medicare coverage and subsequent payment of claims. Final coverage and payment of claims are subject to many factors exclusively controlled by CMS and its contractors.
This website is a private website and is not associated, endorsed or authorized by the Department of Health and Human Services, the Center for Medicare and Medicaid Services or any other public or government organization or agency.
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