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Missouri 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
$446.68 / $776.25 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $338.84 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $812.83 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $467.74 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $549.54