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Nebraska 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $627.00 / $671.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.00 / $627.00 / $627.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $1,153.63 / $2,249.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $1,444.00 / $1,558.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.56 / $1,364.45 / $2,156.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,128.59 / $4,512.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.00 / $570.00 / $1,900.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.95 / $1,823.72 / $2,718.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.95 / $1,869.31 / $2,479.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.50 / $570.00 / $1,900.00