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Montana 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

Facilitymedian $21 · 10th–90th $17–$910%20%40%10th90th$21Professionalmedian $15 · 10th–90th $11–$310%20%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.88 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $56.23 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $26.92 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.20 / $23.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $48.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $48.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.92 / $16.60