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Illinois 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
$478.63 / $794.33 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $95.50 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $870.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $707.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $602.56 / $831.76
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $467.74 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $467.74