- Tier I permits testing for up to 7 drugs, and prices are determined by individual drug testing codes (CPT/G-codes);
- Tier II allows testing for 8 to 15 drugs at a flat rate of $180;
- Tier III permits testing for 16 to 34 drugs for approximately $215;
- Tier IV allows testing for 35 or more drugs at a capped rate of $250. Adoption of this code would allow a laboratory to report all available information when ordered.
“Pricing should correlate with the value of the service provided to ensure that clinicians use drug testing appropriately in the treatment of their patients and valuable healthcare dollars are efficiently allocated,” she said at the hearing.