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Illinois 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
$114.82 / $194.98 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $151.36 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $208.93 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $169.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $288.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $112.20 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $112.20