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Massachusetts rates for HCPCS 81554

Pulmonary disease (idiopathic pulmonary fibrosis [IPF]), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positive or negative for high probability of usual interstitial pneumonia [UIP])

Facilitymedian $8,511 · 10th–90th $4,074–$16,9820%10%20%10th90th$8,511Professionalmedian $5,370 · 10th–90th $3,631–$10,0000%20%40%10th90th$5,370$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
$3,890.45 / $12,302.69 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,466.84 / $10,715.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $6,309.57 / $17,782.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,495.41 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,918.31 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,265.80 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,888.44 / $10,964.78
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $5,888.44 / $31,622.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $9,332.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $8,709.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $6,309.57 / $17,782.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,495.41 / $16,218.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,370.32 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,370.32 / $8,912.51