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New Jersey rates for HCPCS 0095U

Eosinophilic esophagitis, 2 protein biomarkers (Eotaxin-3 [CCL26 {C-C motif chemokine ligand 26}] and Major Basic Protein [PRG2 {proteoglycan 2, pro eosinophil major basic protein}]), enzyme-linked immunosorbent assays (ELISA), specimen obtained by esophageal string test device, algorithm reported as probability of active or inactive eosinophilic esophagitis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,023.29 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,698.24 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $891.25 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $363.08 / $457.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,471.29 / $26,302.68
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $776.25 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $794.33