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Hawaii rates for HCPCS 0322U

Neurology (autism spectrum disorder [ASD]), quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites, liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma, results reported as negative or positive for risk of metabolic subtypes associated with ASD

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.75 / $701.25 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.54 / $785.34 / $937.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $900.00 / $1,125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $900.00 / $1,125.00