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Louisiana 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
$117.49 / $162.18 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $218.78 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $87.10 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $100.00 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $56.23 / $123.03