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Utah 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
$416.87 / $2,238.72 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $407.38 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $467.74 / $2,137.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $416.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $1,348.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $407.38 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $371.54