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Genetic Test For Medication Response

Massachusetts rates for HCPCS 0031U

A genetic test that looks at inherited differences affecting how a person's body handles or responds to medicines. The findings help the prescriber pick a drug and a dose more likely to work well and less likely to cause side effects.

Facilitymedian $282 · 10th–90th $174$5500%10%10th90th$282Professionalmedian $174 · 10th–90th $115$2880%20%40%10th90th$174$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$389.05
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$169.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$446.68
Typical High
$831.76
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$346.74
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$446.68
Typical High
$831.76
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$398.11