go back

Massachusetts rates for HCPCS 0051U

Prescription drug monitoring, evaluation of drugs present by liquid chromatography tandem mass spectrommetry (LC-MS/MS), urine or blood, 31 drug panel, reported as quantitative results, detected or not detected, per date of service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $549.54 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $154.88 / $186.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $151.36 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $281.84 / $354.81
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
$354.81 / $354.81 / $416.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $537.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $204.17 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $489.78