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New Jersey rates for HCPCS 0139U

Neurology (autism spectrum disorder [ASD]), quantitative measurements of 6 central carbon metabolites (ie, a-ketoglutarate, alanine, lactate, phenylalanine, pyruvate, and succinate), LC-MS/MS, plasma, algorithmic analysis with result reported as negative or positive (with metabolic subtypes of ASD)

Facilitymedian $19,498 · 10th–90th $759–$29,5120%10%10th90th$19,498Professionalmedian $631 · 10th–90th $631–$6760%50%90th$631$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $19,498.45 / $29,512.09
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $676.08