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See a sample rate comparisonHCPCS G0481 Fee Schedule
Medicare rates as of January 2026
HCPCS G0481 is classified under Procedures / Professional Services, in the Other Services subgroup.
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Common Revenue Codes | 03000301Sign up to view all 4 |
| Medicare Fee Schedule | $156.59 national lab fee schedule rate (2026)View Medicare rates for G0481 |
| Medicaid Fee Schedule | $153.07 median of the 8 states in the free previewView Medicaid rates for G0481 |
National average reimbursement for HCPCS G0481 by major payers:
$110.55
BCBS / Anthem
$85.91
UnitedHealthcare
$150.36
Aetna
$136.14
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0481.
HCPCS G0481
5 of 25 sample ratesHigher to lower in this preview
Gary Cundiff
Consultants In Pain Management, P.C.
$172.25Published rateDana Simpson
Consultants In Pain Management, P.C.
$65.76Published rateRachel Kimble
Consultants In Pain Management, P.C.
$65.76Published rateJeffrey Brown
Ut Regional One Physicians Inc
$61.50Published rateGeorgia Pain Physicians PC, Knoxville Pain Management
Georgia Pain Physicians
$24.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0481 vs. Other Other Services Codes
The table lists codes related to G0481. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0480-HCPCS | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
| G0481-HCPCS | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
| G0482-HCPCS | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0481. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0481 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
Which revenue codes are billed with HCPCS G0481?
Hospital price transparency files list HCPCS G0481 under these revenue codes: 0300, 0301, 0309 and 0971. A revenue code names the hospital department or charge category for the line; it does not change what the service is.