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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$571.27 / $571.27 / $571.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,582.99 / $1,787.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.08 / $2,282.08 / $2,282.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.12 / $887.12 / $1,108.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.19 / $463.19 / $1,113.43