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Idaho 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
$3,162.28 / $3,162.28 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,388.44 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $3,630.78 / $7,585.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,511.89 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,344.23 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,630.78 / $7,079.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $2,041.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,862.09