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Illinois 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 $25 · 10th–90th $12–$910%5%10%10th90th$25Professionalmedian $11 · 10th–90th $6–$180%20%40%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0

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 / $24.55 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.72 / $17.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.41 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $33.88 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $8.32 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $27.54 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $13.80 / $21.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $23.44 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.13 / $14.13