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Oklahoma 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
$83.18 / $112.20 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $87.10 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $91.20 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $67.61