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Washington 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
$104.71 / $501.19 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $251.19 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $169.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $194.98 / $338.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $134.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $169.82 / $309.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $100.00 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $199.53