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Montana rates for HCPCS 83013

Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $229.09 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $114.82 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $77.62 / $97.72
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $95.50 / $208.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $114.82 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $93.33