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Massachusetts rates for HCPCS 0043U

Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM

Facilitymedian $33 · 10th–90th $10–$480%20%10th90th$33Professionalmedian $15 · 10th–90th $9–$180%20%40%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $33.11 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $14.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $11.48 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $21.38
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $25.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $23.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $14.79 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.79 / $25.12