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Ohio 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
$12.80 / $38.40 / $98.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.80 / $24.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $17.60 / $28.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $6.40 / $16.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.93 / $16.00 / $21.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $20.80 / $21.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $16.47 / $54.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $10.40 / $22.72
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $16.47 / $62.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $8.32 / $16.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $13.20 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $9.60 / $25.81