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Colorado rates for HCPCS 0095U

Eosinophilic esophagitis, 2 protein biomarkers (Eotaxin-3 [CCL26 {C-C motif chemokine ligand 26}] and Major Basic Protein [PRG2 {proteoglycan 2, pro eosinophil major basic protein}]), enzyme-linked immunosorbent assays (ELISA), specimen obtained by esophageal string test device, algorithm reported as probability of active or inactive eosinophilic esophagitis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,238.72 / $3,715.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $501.19 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $891.25 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $575.44