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Kentucky rates for HCPCS 87493

Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique

Facilitymedian $110 · 10th–90th $31–$2510%10%10th90th$110Professionalmedian $32 · 10th–90th $17–$890%10%20%10th90th$32$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
$30.90 / $134.90 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $61.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $75.86 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $57.54 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $29.51 / $50.12