go back

Texas 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 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $51.29 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.71 / $15.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $27.54 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.71 / $23.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $15.85 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.49 / $18.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $15.85 / $44.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.91 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $8.32 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.08 / $16.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $15.85