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North Dakota 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
$78.41 / $78.41 / $201.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $78.41 / $105.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.23 / $225.72 / $253.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $129.72 / $163.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.41 / $133.30 / $532.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $112.02 / $190.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $114.26 / $162.43