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Maryland 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
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $123.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $128.82 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $117.49 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $53.70 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $52.48 / $109.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.71 / $169.82