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Massachusetts rates for HCPCS 0304U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.06 / $4,670.55 / $6,326.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.84 / $1,453.06 / $1,536.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,611.89 / $9,860.04 / $9,860.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.32 / $1,245.48 / $3,632.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,362.76 / $1,430.90 / $3,334.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.73 / $2,385.08 / $2,981.34
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
$2,995.11 / $2,995.11 / $3,523.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.80 / $2,075.80 / $4,836.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,611.89 / $9,860.04 / $9,860.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.32 / $1,245.48 / $3,632.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $1,245.48 / $3,113.70