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Plasma Chemistry Pattern In Autism Assessment

Michigan 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 $708 · 10th–90th $708$1,3180%50%90th$708Professionalmedian $617 · 10th–90th $447$8910%20%10th90th$617$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
$707.95
Median
$707.95
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$2,137.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,778.28
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,023.29
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58