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Massachusetts 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 $35 · 10th–90th $12$1000%10%10th90th$35Professionalmedian $11 · 10th–90th $9$200%50%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$12.02 / $37.15 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.72 / $14.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $72.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $29.51 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $19.05 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $13.49 / $31.62
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $117.49 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $33.11
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $31.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $72.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $29.51
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.75 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $30.20