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Massachusetts rates for HCPCS 0170U

Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,365.16 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $1,659.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $9,332.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,949.84 / $7,244.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,818.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,311.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $4,168.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $9,332.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,949.84 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,737.80 / $3,630.78