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Nebraska 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
$933.25 / $1,230.27 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $107.15 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $707.95 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $549.54 / $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
$208.93 / $416.87 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $512.86