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Maine rates for HCPCS 0063U

Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $891.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,096.48