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South Dakota 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
$323.59 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $354.81 / $537.03
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
$436.52 / $524.81 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $562.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $616.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74