go back

Utah 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
$15.14 / $81.28 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.13 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $18.20 / $22.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $48.98 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.49 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $15.85 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.13 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.08 / $16.60