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Vermont 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
Professional
Modifier
Low / Median / High Price
$525.00 / $930.00 / $930.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.31 / $1,255.31 / $1,255.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.31 / $1,255.31 / $1,255.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.50 / $487.50 / $487.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.60 / $1,050.00 / $3,375.00