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Michigan 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
$107.15 / $107.15 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $169.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $269.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $112.20 / $151.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $112.20 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $72.44