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Missouri 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
$394.20 / $623.44 / $1,075.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.20 / $394.20 / $449.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $319.99 / $821.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.73 / $972.75 / $1,105.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $538.51 / $666.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.73 / $602.89 / $2,202.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $278.26 / $524.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $278.26 / $556.51