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West Virginia 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
$380.19 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $354.81 / $416.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $741.31 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $2,238.72 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $467.74