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Massachusetts 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 $49$2510%10%10th90th$110Professionalmedian $37 · 10th–90th $26$1070%20%40%10th90th$37$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
$51.29 / $120.23 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $114.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $48.98 / $120.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $85.11 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $60.26 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $44.67 / $97.72
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $199.53 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $63.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $67.61
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $61.66 / $162.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $48.98 / $120.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $141.25
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $74.13