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Ohio 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
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $977.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $10,471.29 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $11,748.98 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $954.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $3,090.30
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $676.08 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $870.96