go back

Massachusetts 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
$323.59 / $1,047.13 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $446.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $363.08 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $707.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $794.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $891.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $467.74 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $691.83