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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
$538.12 / $2,819.75 / $3,696.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.12 / $538.12 / $538.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.06 / $525.63 / $1,647.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.49 / $717.49 / $717.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.91 / $687.60 / $2,421.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.99 / $623.16 / $746.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.12 / $251.12 / $358.75