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Minnesota 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
$1,659.59 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,479.11 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,949.84 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $3,981.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,760.83 / $14,125.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,388.44 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $3,715.35