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Plasma Chemistry Pattern In Autism Assessment

Washington 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.

Facilitymedian $832 · 10th–90th $759$4,0740%20%40%10th90th$832Professionalmedian $676 · 10th–90th $417$8910%20%10th90th$676$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
$707.95
Median
$3,388.44
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$724.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,513.56
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,659.59
Typical High
$1,949.84
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,344.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,737.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$758.58
Typical High
$1,348.96