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Plasma Chemistry Pattern In Autism Assessment

Idaho 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 July 2026.

Facilitymedian $1,122 · 10th–90th $759$2,2910%20%10th90th$1,122Professionalmedian $759 · 10th–90th $525$1,4790%20%40%10th90th$759$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,318.26
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,548.82
Typical High
$2,951.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,691.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58