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Massachusetts rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $18 · 10th–90th $5–$260%10%20%10th90th$18Professionalmedian $7 · 10th–90th $5–$130%20%10th90th$7$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $18.20 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $7.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.79 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.31 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.00 / $12.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $13.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $17.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.79 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $8.13 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $8.13 / $22.39