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Pennsylvania 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
$95.22 / $386.55 / $462.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $90.74 / $95.22
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.38 / $87.38 / $87.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $145.53 / $371.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $128.44 / $160.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $66.09 / $151.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.41 / $462.64 / $462.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $90.74 / $462.64
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $141.41 / $371.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $128.44 / $160.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.02 / $112.02 / $123.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.58 / $112.02 / $123.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $67.20 / $190.43