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Hawaii 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
$1,608.75 / $1,823.25 / $2,340.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.15 / $930.15 / $930.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.00 / $2,340.00 / $2,340.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.00 / $2,041.88 / $2,437.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.00 / $2,340.00 / $2,730.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $2,340.00 / $2,632.50