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Autism Blood Metabolite Subtype Test

South Carolina rates for HCPCS 0139U

Helps evaluate a child for autism spectrum disorder by measuring six chemicals in blood plasma, namely alpha-ketoglutarate, alanine, lactate, phenylalanine, pyruvate and succinate, and assigning a metabolic subtype. A related test addresses the same question using RNA from saliva.

Rates data updated July 2026.

Professionalmedian $30 · 10th–90th $30$300%50%100%$30

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20