go back

Maine 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
$463.76 / $463.76 / $985.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.50 / $607.50 / $607.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.50 / $185.50 / $301.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $533.17 / $666.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $463.76 / $561.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.76 / $463.76 / $751.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $607.50 / $607.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.26 / $278.26 / $672.45