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Idaho 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
$836.99 / $836.99 / $1,205.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.63 / $435.93 / $435.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.73 / $491.35 / $1,808.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.40 / $533.17 / $666.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.93 / $904.33 / $958.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $463.76 / $556.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.64 / $927.52 / $1,669.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.20 / $693.02 / $716.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $194.78 / $556.51