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Nebraska 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
$327.87 / $327.87 / $327.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.87 / $108.12 / $210.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.45 / $704.91 / $760.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $842.76 / $1,053.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.26 / $550.94 / $2,202.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.26 / $278.26 / $927.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.51 / $704.92 / $955.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.51 / $704.92 / $1,016.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.33 / $278.26 / $927.52