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Nevada 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
$836.98 / $1,282.56 / $1,702.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.99 / $578.99 / $578.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.89 / $771.98 / $1,852.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.79 / $467.04 / $566.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.79 / $903.22 / $2,794.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.12 / $887.12 / $1,108.91
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $771.98 / $810.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.23 / $324.23 / $771.98