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Texas 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
$1,096.48 / $2,511.89 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $1,862.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,511.89 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,818.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $14,791.08 / $14,791.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,995.26 / $3,467.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $2,089.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,949.84 / $5,128.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,949.84 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,202.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $1,949.84 / $1,949.84