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Plasma Metabolite Panel Related To Autism

Florida rates for HCPCS 0263U

A test related to autism spectrum disorder that measures 16 chemical substances produced by the body's metabolism in plasma, the liquid part of a blood sample. Those measured include alanine, lactate, phenylalanine, pyruvate, succinate, carnitine, citrate and taurine, identified by mass spectrometry, an instrument that sorts chemicals by their weight. The findings are reported as a classification, and the analysis is a chemical one only, with no genetic component.

Rates data updated June 2026.

Facilitymedian $1,230 · 10th–90th $447$4,0740%5%10%10th90th$1,230Professionalmedian $525 · 10th–90th $447$7590%20%10th90th$525$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,041.74
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$724.44
AvMed
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
AvMed
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$3,630.78
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$758.58