CPT 0164U
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Gi ibs ia anti-cdtb&vinculin
Low
$35
Average
$140
Median
$125
High
$274
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 1.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 600 | $112 | $122 | $65 | 53% | — | $13 – $1.0k |
| 2 | Aetna fee schedule · outpatient · +8 other terms | 536 | $115 | $176 | $158 | 90% | — | $14 – $2.4k |
| 3 | Humana fee schedule · outpatient · +11 other terms | 383 | $112 | $124 | $47 | 38% | — | $96 – $448 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 365 | $114 | $135 | $138 | 102% | — | $1 – $1.1k |
| 5 | Cigna fee schedule · outpatient · +7 other terms | 311 | $182 | $272 | $181 | 67% | — | $51 – $1.1k |
| 6 | WellCare fee schedule · outpatient · +7 other terms | 247 | $115 | $119 | $18 | 15% | — | $110 – $223 |
| 7 | Molina fee schedule · outpatient · +8 other terms | 200 | $165 | $162 | $68 | 42% | — | $67 – $336 |
| 8 | Devoted fee schedule · outpatient · +4 other terms | 193 | $112 | $113 | $3 | 3% | — | $110 – $130 |
| 9 | Oscar fee schedule · outpatient · +7 other terms | 160 | $217 | $241 | $80 | 33% | — | $110 – $343 |
| 10 | Anthem fee schedule · outpatient · +8 other terms | 143 | $123 | $218 | $220 | 101% | — | $7 – $840 |
← Hospitals reporting CPT 0164U · Snapshot 20261113T090226Z-3ce6c0b8