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Massachusetts rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $30 · 10th–90th $11$500%20%10th90th$30Professionalmedian $12 · 10th–90th $6$250%20%40%10th90th$12$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
$12.02 / $27.54 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $17.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $114.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $12.02 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $29.51 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.05 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $13.49 / $30.90
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $60.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $26.30
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $338.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $114.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $12.02 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $12.02 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $9.12 / $30.20