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New York 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
$91.20 / $213.80 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $177.83 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $537.03 / $537.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $186.21 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $218.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $125.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $208.93 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $100.00 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $169.82
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $112.20 / $128.82
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $107.15 / $128.82