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Plasma Chemistry Pattern In Autism Assessment

Alaska rates for HCPCS 0063U

Supports assessment of autism spectrum disorder by looking at body chemistry rather than genes. It measures 32 amine-related substances in blood plasma and reports a classification based on the overall pattern, not on the individual values.

Rates data updated June 2026.

Facilitymedian $2,630 · 10th–90th $759$5,8880%20%10th90th$2,630Professionalmedian $708 · 10th–90th $501$1,6980%20%40%10th90th$708$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,888.44
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$5,370.32
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$2,398.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,754.23
Typical High
$3,019.95
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,089.30
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$2,238.72