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Massachusetts rates for HCPCS 87505

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Facilitymedian $295 · 10th–90th $117–$9330%10%20%10th90th$295Professionalmedian $129 · 10th–90th $72–$3160%20%10th90th$129$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
$128.82 / $295.12 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $371.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $398.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $128.82 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $316.23 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $186.21 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $154.88 / $331.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $588.84 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $218.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $234.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $398.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $128.82 / $426.58
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $134.90 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $128.82 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $128.82 / $263.03