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Arkansas rates for HCPCS 0164U

Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $144.54 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $112.20