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Wisconsin rates for HCPCS 87230

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

Facilitymedian $43 · 10th–90th $17$1100%10%20%10th90th$43Professionalmedian $18 · 10th–90th $10$780%10%10th90th$18$10.0$20.0$50.0$100.0$200.0$500.0

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
$22.91 / $43.65 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $79.43
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $61.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $42.66 / $158.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $33.11 / $69.18
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $56.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $32.36 / $56.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $50.12 / $173.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $19.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $41.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $17.38 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.85 / $44.67