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Iowa rates for HCPCS 87339

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $30.20 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $30.20 / $38.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $29.51 / $46.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $19.95 / $42.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.85 / $34.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $19.05 / $20.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.00 / $34.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.85 / $15.85