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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
$687.60 / $687.60 / $687.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.97 / $866.97 / $866.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.97 / $866.97 / $866.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.97 / $866.97 / $866.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.12 / $538.12 / $866.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.12 / $251.12 / $597.91