go back

Minnesota 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
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $354.81 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $467.74 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $891.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $3,311.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $724.44 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $467.74 / $1,023.29