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West Virginia 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
$579.70 / $695.64 / $695.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.82 / $347.82 / $375.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.08 / $2,608.65 / $12,521.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.51 / $626.08 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.80 / $556.51 / $1,391.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $666.48 / $2,235.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $208.69 / $463.76