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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.88 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $26.92 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $18.20 / $23.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $21.38 / $48.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.38 / $48.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $26.92 / $91.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $16.60