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Maryland rates for HCPCS 87230

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

Facilitymedian $14 · 10th–90th $8–$1700%20%10th90th$14Professionalmedian $17 · 10th–90th $12–$280%20%10th90th$17$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $24.55
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $18.62 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $19.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $13.49 / $29.51