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Massachusetts rates for HCPCS 0093U

Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $141.25 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $46.77 / $60.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $48.98 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $75.86 / $95.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $144.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $61.66 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $37.15 / $141.25