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Washington, DC 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 / $83.18 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $190.55 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $141.25