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Vermont 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
$418.54 / $741.41 / $741.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.75 / $1,000.75 / $1,000.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.75 / $1,000.75 / $1,000.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.64 / $388.64 / $388.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.17 / $597.91 / $1,381.41