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Alaska rates for HCPCS 86677

Antibody; Helicobacter pylori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $116.29 / $194.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.35 / $56.45 / $59.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.54 / $46.54 / $46.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $19.41 / $24.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $13.16 / $13.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $67.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.98 / $64.87 / $93.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $37.90 / $191.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $13.16 / $58.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $18.75 / $20.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $33.70 / $50.84