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Iowa 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
$85.11 / $213.80 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $269.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $134.90 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $245.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $112.20