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Massachusetts rates for HCPCS 0316U

Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine

Facilitymedian $42 · 10th–90th $13–$600%20%10th90th$42Professionalmedian $18 · 10th–90th $11–$310%20%40%10th90th$18$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
$12.88 / $41.69 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $18.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.22 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.45 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.91 / $28.18
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $43.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.22 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $18.62 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $18.62 / $53.70