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South Carolina 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
$77.62 / $275.42 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $120.23 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $275.42 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $100.00 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $123.03