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New Jersey 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
$59.37 / $137.79 / $640.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $67.20 / $95.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.50 / $165.43 / $353.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $122.91 / $160.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $56.01 / $67.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $16.14 / $8,702.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.82 / $100.82 / $100.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $67.20 / $114.82