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New Mexico 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
$2,630.27 / $5,754.40 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,479.11 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,344.23 / $5,128.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,137.96 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,047.13