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New Hampshire 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
$1,174.90 / $1,174.90 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $891.25 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $302.00 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,445.44 / $2,041.74
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
$467.74 / $812.83 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $467.74