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New Hampshire 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
$281.84 / $281.84 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $213.80 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $72.44 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $354.81 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $112.20