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Michigan 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
$436.52 / $436.52 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $707.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,096.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $630.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $467.74 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $295.12