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
$59
Average
$132
Median
$115
High
$313
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 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 | Molina facility · case rate · outpatient · +2 other terms | 42 | $108 | $119 | $40 | 34% | — | $59 – $230 |
| 2 | Aetna case rate · outpatient · +1 other terms | 38 | $114 | $120 | $22 | 18% | — | $112 – $199 |
| 3 | UnitedHealthcare case rate · outpatient · +1 other terms | 38 | $117 | $122 | $21 | 17% | — | $112 – $201 |
| 4 | Humana facility · case rate · outpatient · +1 other terms | 29 | $112 | $106 | $12 | 12% | — | $81 – $118 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 22 | $121 | $137 | $43 | 32% | — | $72 – $224 |
| 6 | Anthem facility · case rate · outpatient · +1 other terms | 20 | $112 | $145 | $98 | 68% | — | $72 – $448 |
| 7 | Optum facility · case rate · outpatient | 14 | $97 | $105 | $24 | 23% | — | $77 – $162 |
| 8 | WellCare case rate · outpatient · +1 other terms | 14 | $113 | $116 | $4 | 4% | — | $112 – $123 |
| 9 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 13 | $112 | $362 | $263 | 72% | — | $112 – $638 |
| 10 | Ambetter case rate · outpatient · +1 other terms | 12 | $162 | $167 | $7 | 4% | — | $162 – $179 |
← Hospitals reporting CPT 0164U · Snapshot 20261113T090226Z-3ce6c0b8