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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

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Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $615.00 / $615.00
BCBS
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Modifier
Low / Median / High Price
$0.02 / $1,537.92 / $1,736.25
Cigna
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Professional
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Low / Median / High Price
$861.93 / $861.93 / $1,077.41
United
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Professional
Modifier
Low / Median / High Price
$262.50 / $450.00 / $1,081.73