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Arizona 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
$422.58 / $683.58 / $1,850.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.72 / $310.72 / $310.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.43 / $1,020.54 / $1,697.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.61 / $390.71 / $556.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.72 / $753.60 / $1,356.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $565.40 / $706.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.26 / $371.01 / $2,202.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $194.78 / $371.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $194.78 / $298.20