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Maine 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
$467.74 / $467.74 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $363.08 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $223.87 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $562.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $676.08