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North Carolina 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
$89.13 / $89.13 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $89.13 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $251.19 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $177.83 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $169.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $89.13 / $112.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $112.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03