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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
$83.18 / $89.13 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $229.09 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $169.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $77.62 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $112.20