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Indiana 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
$533.32 / $1,391.28 / $1,711.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.36 / $394.20 / $463.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $1,391.28 / $2,517.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.58 / $277.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.76 / $579.70 / $10,223.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $510.14 / $626.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.44 / $876.67 / $1,808.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $533.17 / $666.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $278.26 / $463.76