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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,228.50 / $2,176.19 / $2,176.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,937.43 / $2,937.43 / $2,937.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,937.43 / $2,937.43 / $2,937.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.75 / $1,140.75 / $1,140.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.58 / $1,950.00 / $7,897.50