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See a sample rate comparisonCPT 0170U Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Neuro Asd Rna Next Gen Seq, Neurology Autism Spectrum Disorder Asd Rna Next Generation Sequencing Saliva Algorithmic Analysis And Results Reported As Predictive Probability Of Asd Diagnosis
| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0170U |
| Medicaid Fee Schedule | View Medicaid rates for 0170U |
National average reimbursement for CPT 0170U by major payers:
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CPT 0170U
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3,861.00Published rateChristopher Raio
St Francis Hospital
$2,316.60Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$1,294.20Published rateChristopher Raio
Mercy Medical Center
$1,053.00Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$614.25Published rate
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See a sample payer proposalCPT 0170U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0170U code is part of the Proprietary Laboratory Analyses services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 0170U code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0170U-CPT | Moderate | Neuro Asd Rna Next Gen Seq, Neurology Autism Spectrum Disorder Asd Rna Next Generation Sequencing Saliva Algorithmic Analysis And Results Reported As Predictive Probability Of Asd Diagnosis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0170U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0170U fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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