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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
$144.54 / $147.91 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $245.47 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $128.82 / $169.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $66.07
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $112.20 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $114.82