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Vermont 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
Professional
Modifier
Low / Median / High Price
$575.05 / $575.05 / $575.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.21 / $776.21 / $776.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $533.17 / $666.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.21 / $776.21 / $776.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.44 / $533.17 / $666.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.26 / $278.26 / $649.26