go back

Massachusetts rates for HCPCS 0171U

Targeted genomic sequence analysis panel, acute myeloid leukemia, myelodysplastic syndrome, and myeloproliferative neoplasms, DNA analysis, 23 genes, interrogation for sequence variants, rearrangements and minimal residual disease, reported as presence/absence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.33 / $3,493.84 / $4,629.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.78 / $1,063.33 / $1,230.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.97 / $3,875.15 / $5,550.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.44 / $1,519.06 / $6,024.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.26 / $1,086.13 / $3,455.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.06 / $1,850.06 / $2,216.58
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
$2,191.84 / $2,191.84 / $2,578.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.06 / $1,519.06 / $3,154.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,643.16 / $7,215.54 / $7,215.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.44 / $911.44 / $7,564.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.44 / $911.44 / $2,713.13