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Utah 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
$676.08 / $3,630.78 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $676.08 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $660.69 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $891.25 / $3,467.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $676.08 / $758.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $2,187.76
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $660.69 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $446.68