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Pennsylvania rates for HCPCS 87230

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

Facilitymedian $54 · 10th–90th $16$1150%10%10th90th$54Professionalmedian $16 · 10th–90th $13$340%20%10th90th$16$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$15.85 / $53.70 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $33.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $30.20 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $25.12 / $47.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $28.84
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.95 / $33.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $85.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $16.60
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $30.20 / $67.61
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $22.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $19.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $16.22 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $19.95 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.49 / $30.90