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Montana rates for HCPCS 87338

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pylori, stool

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.42 / $107.53 / $129.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $13.05 / $92.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $19.27 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $19.27 / $19.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $42.49 / $81.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $16.52 / $20.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $28.04 / $42.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $12.94 / $17.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.22 / $19.77