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Georgia 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
$74.48 / $74.48 / $198.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $87.38 / $104.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.47 / $112.02 / $143.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.91 / $112.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.02 / $112.02 / $179.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.35 / $246.44 / $311.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $136.69 / $170.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.22 / $128.82 / $145.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $67.20 / $196.09