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Pennsylvania 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

Facilitymedian $55 · 10th–90th $15$1350%10%10th90th$55Professionalmedian $13 · 10th–90th $10$410%20%40%10th90th$13$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $57.54 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $14.45
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $45.71 / $151.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $21.88 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $18.20 / $30.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $20.89
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.45 / $25.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $39.81 / $79.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.55 / $10.72
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $44.67 / $151.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $21.38 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $19.95
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $331.13 / $457.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.33 / $15.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $11.48 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $14.45 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.77 / $26.92