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Massachusetts rates for HCPCS 0011U

Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds and metabolites

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $213.80 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $107.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $229.09 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $89.13 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $141.25 / $165.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $194.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $223.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $114.82 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $234.42