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New York rates for HCPCS 87230

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

Facilitymedian $35 · 10th–90th $14–$590%10%20%10th90th$35Professionalmedian $15 · 10th–90th $6–$320%10%20%10th90th$15$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$16.60 / $37.15 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $16.98 / $29.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $31.62
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $19.95 / $19.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $43.65 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $28.18 / $131.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $22.91 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.80 / $38.02
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $18.62 / $26.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $35.48 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $23.99 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.59 / $44.67
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $47.86
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $19.95 / $63.10