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Massachusetts rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.20 / $87.20 / $96.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $87.20 / $120.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.74 / $249.54 / $1,145.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.53 / $128.77 / $748.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.23 / $744.90 / $1,397.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.30 / $1,488.89 / $2,635.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.73 / $155.97 / $255.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $184.30 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $110.44 / $178.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.92 / $217.35 / $947.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.19 / $1,653.45 / $1,653.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.77 / $164.20 / $748.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.77 / $164.20 / $316.42