go back

Utah 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
$537.03 / $2,884.03 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $537.03 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,096.48 / $2,818.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $676.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $602.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $524.81 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $354.81