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Massachusetts rates for HCPCS 0116U

Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug interactions for prescribed medications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.84 / $555.57 / $752.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.35 / $172.84 / $182.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.64 / $1,172.86 / $1,172.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.77 / $148.15 / $432.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.29 / $172.54 / $561.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.73 / $301.08 / $376.35
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
$356.13 / $356.13 / $418.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.92 / $370.38 / $795.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.64 / $1,172.86 / $1,172.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.77 / $148.15 / $432.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $148.15 / $370.38