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Illinois rates for HCPCS 87230

Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)

Facilitymedian $38 · 10th–90th $20–$980%10%10th90th$38Professionalmedian $16 · 10th–90th $3–$380%10%20%10th90th$16$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $34.67 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $61.66 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $13.49 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $45.71 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $22.91 / $36.31
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $39.81 / $204.17
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.49 / $19.95