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West Virginia 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
$67.50 / $93.60 / $126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.22 / $13.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $21.60 / $24.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $19.20 / $21.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $19.20 / $48.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $22.72 / $78.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.19 / $77.19 / $125.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.20 / $21.71