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Texas 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
$350.60 / $812.52 / $2,277.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.26 / $343.18 / $556.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $463.76 / $463.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.76 / $463.76 / $463.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.20 / $1,012.84 / $2,066.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $565.40 / $706.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.02 / $2,202.86 / $2,202.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.17 / $463.76 / $510.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.38 / $463.76 / $463.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.08 / $463.76 / $678.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.10 / $440.57 / $489.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $194.78 / $301.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.58 / $463.76