| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $750.00 | $750.00 | $750.00 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
United
| Professional | $315.00 | $315.00 | $750.00 |
Neurology (autism spectrum disorder [ASD]), quantitative measurements of 16 central carbon metabolites (ie, a-ketoglutarate, alanine, lactate, phenylalanine, pyruvate, succinate, carnitine, citrate, fumarate, hypoxanthine, inosine, malate, S-sulfocysteine, taurine, urate, and xanthine), liquid chromatography tandem mass spectrometry (LC-MS/MS), plasma, algorithmic analysis with result reported as negative or positive (with metabolic subtypes of ASD)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $750.00 | $750.00 | $750.00 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
United
| Professional | $315.00 | $315.00 | $750.00 |