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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
$173.78 / $549.54 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $239.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $380.19
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
$354.81 / $354.81 / $416.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $575.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $562.34