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Missouri 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
$1,698.24 / $3,019.95 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,096.48 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,801.89 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,949.84 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,949.84