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Nationwide rates for HCPCS 0105U

Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KIM-1) combined with longitudinal clinical data, including APOL1 genotype if available, and plasma (isolated fresh or frozen), algorithm reported as probability score for rapid kidney function decline (RKFD)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.50 / $1,400.30 / $2,850.00	Facility	$807.50	$1,400.30	$2,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.00 / $774.25 / $893.00	Professional	$703.00	$774.25	$893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.08 / $1,045.00 / $2,872.13	Facility	$879.08	$1,045.00	$2,872.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $356.43 / $697.30	Professional	$336.26	$356.43	$697.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.86 / $1,590.06 / $2,636.01	Facility	$721.86	$1,590.06	$2,636.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,091.56 / $1,364.45	Professional	$1,091.56	$1,091.56	$1,364.45
United Facility/Professional Facility Modifier Low / Median / High Price $522.50 / $522.50 / $950.00	Facility	$522.50	$522.50	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,140.00	Professional	$399.00	$570.00	$1,140.00

Nationwide rates for HCPCS 0105U

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