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Utah 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
$1,584.89 / $8,511.38 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,698.24 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $8,128.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,659.59 / $1,737.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $5,623.41
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,698.24 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,174.90