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Utah rates for HCPCS 87230

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

Facilitymedian $68 · 10th–90th $17–$930%20%10th90th$68Professionalmedian $16 · 10th–90th $13–$230%20%10th90th$16$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $70.79 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.42 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $89.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.60 / $17.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $63.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $17.38 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.75 / $27.54