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Maine 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
$112.20 / $112.20 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $53.70 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $112.20 / $134.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $162.18