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Iowa rates for HCPCS 87324

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Clostridium difficile toxin(s)

Facilitymedian $28 · 10th–90th $12–$2750%5%10%10th90th$28Professionalmedian $11 · 10th–90th $7–$710%20%10th90th$11$5.0$20.0$100.0$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
$12.02 / $28.18 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $22.91 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $21.88 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.49 / $58.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $14.45 / $31.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $15.49 / $165.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.00 / $30.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $12.02