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New Mexico 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
$347.82 / $1,391.28 / $1,391.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.82 / $556.51 / $556.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.44 / $301.44 / $301.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $533.17 / $666.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.44 / $440.57 / $556.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.28 / $463.76 / $463.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $194.78 / $278.26