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Indiana 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
$128.82 / $173.78 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.92 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $1,621.81 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $128.82 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $112.20 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $112.20