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South Carolina 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 / $1,905.46 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $602.56 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $831.76 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,949.84 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,096.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $776.25 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $851.14