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Nebraska 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
$223.87 / $295.12 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $169.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $213.80 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $131.83 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $100.00 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $123.03