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Massachusetts rates for HCPCS G0471

Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA)

Facilitymedian $10 · 10th–90th $4–$210%20%10th90th$10Professionalmedian $10 · 10th–90th $3–$140%20%10th90th$10$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
$3.98 / $3.98 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $10.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $6.46 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $5.50 / $14.45
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $18.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.22 / $22.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $6.61 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.46 / $16.22