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Tennessee 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
$562.50 / $636.00 / $2,047.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.50 / $585.00 / $712.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $990.00 / $1,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.28 / $1,615.74 / $2,677.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $3,615.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.00 / $3,562.50 / $3,562.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,735.00 / $3,735.00 / $5,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $450.00 / $750.00