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Arizona 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
$87.10 / $223.87 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $204.17 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $93.33 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $85.11 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $91.20 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $89.13