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New Jersey rates for HCPCS 87493

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

Facilitymedian $76 · 10th–90th $37–$2630%10%10th90th$76Professionalmedian $32 · 10th–90th $24–$720%20%10th90th$32$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
$37.15 / $70.79 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $31.62 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $83.18 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $39.81 / $97.72
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $39.81 / $70.79
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $9,332.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $37.15 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $50.12