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Plasma Chemistry Pattern In Autism Assessment

Utah rates for HCPCS 0063U

Supports assessment of autism spectrum disorder by looking at body chemistry rather than genes. It measures 32 amine-related substances in blood plasma and reports a classification based on the overall pattern, not on the individual values.

Rates data updated June 2026.

Facilitymedian $3,631 · 10th–90th $676$4,7860%20%10th90th$3,631Professionalmedian $661 · 10th–90th $407$7590%10%20%10th90th$661$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,630.78
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$891.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$2,187.76
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58