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Florida 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
$537.03 / $2,137.96 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $588.84 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $3,715.35
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $467.74 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $776.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $776.25