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South Dakota 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 / $707.95 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $870.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58