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Wisconsin 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
$717.49 / $717.49 / $1,333.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.39 / $562.04 / $717.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.51 / $1,554.57 / $1,644.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.16 / $508.22 / $2,473.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.58 / $1,461.24 / $1,461.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.45 / $1,922.83 / $2,949.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.42 / $1,610.05 / $1,829.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.39 / $717.49 / $2,092.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.12 / $717.49 / $2,092.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.95 / $358.75 / $1,843.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,650.23
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.39 / $717.49 / $2,092.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.92 / $1,425.36 / $1,999.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.82 / $2,840.07 / $2,840.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,391.64 / $2,989.55 / $2,989.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.28 / $1,273.28 / $1,273.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.65 / $3,264.59 / $3,264.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.49 / $717.49 / $717.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.06 / $358.75 / $1,112.95