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Missouri 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 / $186.21 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $81.28 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $218.78 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $194.98 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $131.83