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Nevada 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
$602.56 / $1,479.11 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $645.65 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $912.01 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,096.48
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $1,000.00