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Idaho 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
$831.76 / $831.76 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $870.96 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $954.99 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $489.78 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,659.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $562.34