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Montana rates for HCPCS 0063U

Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $2,290.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $2,290.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,096.48 / $1,659.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $676.08 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $758.58