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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
$641.60 / $1,120.59 / $2,608.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.99 / $656.18 / $694.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.73 / $2,300.50 / $3,535.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.23 / $324.23 / $566.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.61 / $677.42 / $1,987.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.42 / $887.12 / $1,108.91
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.70 / $640.74 / $993.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.23 / $1,003.57 / $1,428.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.78 / $694.78 / $694.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.23 / $324.23 / $771.98