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Alaska rates for HCPCS 0170U

Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $13,803.84 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $8,709.64 / $20,417.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $6,309.57 / $6,309.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,244.36 / $7,762.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,370.32 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $3,548.13 / $5,248.07