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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

Facilitymedian $148 · 10th–90th $129–$7940%20%40%10th90th$148Professionalmedian $89 · 10th–90th $62–$1290%20%10th90th$89$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $245.47 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $128.82 / $169.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $66.07
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $72.44 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $112.20 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $67.61 / $112.20