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Massachusetts rates for HCPCS 0011U

Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $257.47 / $348.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $80.09 / $92.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.11 / $543.54 / $543.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $572.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.16 / $260.49 / $455.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.62 / $82.68 / $260.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.94 / $139.65 / $167.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.23 / $165.23 / $194.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $114.43 / $354.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.11 / $543.54 / $543.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $572.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $68.66 / $204.38