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Pennsylvania 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
$912.01 / $2,041.74 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $870.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,621.81
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,258.93 / $1,905.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,905.46 / $3,162.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $2,187.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,122.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $933.25