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Alaska rates for HCPCS 0165U

Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA), blood, individual epitope results and probability of peanut allergy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $467.74 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $1,479.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,778.28 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $354.81 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $933.25 / $1,412.54