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Alaska rates for HCPCS 0165U

Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA), blood, individual epitope results and probability of peanut allergy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,926.46 / $3,480.06 / $5,437.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,169.34 / $3,480.06 / $5,359.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.11 / $1,281.11 / $1,281.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $533.17 / $666.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.26 / $352.46 / $556.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $463.76 / $1,855.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.91 / $1,715.91 / $1,855.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.38 / $695.64 / $1,855.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.26 / $357.10 / $904.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.57 / $463.76 / $1,275.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.69 / $927.52 / $927.52