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Montana 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
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,819.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $537.03 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $602.56