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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
$125.46 / $275.68 / $784.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $90.74 / $90.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.27 / $204.77 / $436.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $72.81 / $86.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.27 / $409.39 / $491.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $128.44 / $160.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.03 / $186.51 / $369.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $67.20 / $112.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00