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Plasma Chemistry Pattern In Autism Assessment

Wisconsin 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 $2,042 · 10th–90th $676$3,6310%10%20%10th90th$2,042Professionalmedian $646 · 10th–90th $339$2,1880%10%10th90th$646$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
$891.25
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,905.46
Typical High
$2,344.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,162.28
Typical High
$4,786.30
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$891.25
Typical High
$2,137.96
Network Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$1,778.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$2,454.71
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,548.13
Typical High
$3,548.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$3,019.95
Typical High
$3,715.35
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$602.56
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$1,122.02