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Maine rates for HCPCS 0008U

Helicobacter pylori detection and antibiotic resistance, DNA, 16S and 23S rRNA, gyrA, pbp1, rdxA and rpoB, next-generation sequencing, formalin-fixed paraffin-embedded or fresh tissue or fecal sample, predictive, reported as positive or negative for resistance to clarithromycin, fluoroquinolones, metronidazole, amoxicillin, tetracycline, and rifabutin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,801.89 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $724.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $891.25