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Pennsylvania rates for HCPCS 0063U

Neuro Autism 32 Amines Plsm Alg Metab Signature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.50 / $2,587.94 / $3,136.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $607.50 / $637.50
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.00 / $585.00 / $585.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.75 / $1,027.44 / $2,488.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,615.00 / $3,615.00 / $3,615.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.50 / $1,012.50 / $1,852.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.50 / $2,129.25 / $3,097.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.23 / $637.50 / $3,097.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.12 / $1,161.10 / $2,488.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,615.00 / $3,615.00 / $3,615.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $825.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $825.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $450.00 / $1,125.00