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Massachusetts 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 / $251.19 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $107.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $87.10 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $169.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $213.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $67.61 / $169.82