go back

Massachusetts rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $363.08 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $154.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $125.89 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $245.47
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
$229.09 / $229.09 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $302.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $158.49 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $239.88