go back

Tennessee 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
$84.02 / $155.44 / $314.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $87.38 / $89.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.25 / $72.81 / $179.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.90 / $241.67 / $320.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $136.69 / $170.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.91 / $532.10 / $532.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $67.20 / $112.02