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Minnesota 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
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $89.13 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $112.20 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $426.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $218.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $398.11 / $812.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $173.78 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $112.20 / $245.47