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Utah 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
$104.71 / $234.42 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $58.88 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $77.62 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $117.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $245.47 / $354.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $57.54 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $213.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $67.61 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $89.13