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Rhode Island 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

Facilitymedian $3,388 · 10th–90th $1,514–$3,3880%50%10th$3,388Professionalmedian $525 · 10th–90th $490–$5500%50%10th90th$525$0.0$0.2$2.0$20.0$200.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,388.44 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $1,513.56 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $758.58 / $1,071.52