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C. Diff Toxin Gene Test

New Mexico rates for HCPCS 87493

This laboratory test looks for the genetic material of the toxin-producing form of Clostridioides difficile bacteria in a stool sample, using a technique that amplifies small amounts of genetic material so it can be detected. It is used to determine whether a Clostridioides difficile infection is causing diarrhea or colon inflammation.

Facilitymedian $123 · 10th–90th $45$3470%10%20%10th90th$123Professionalmedian $37 · 10th–90th $27$740%10%20%10th90th$37$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$239.88
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$95.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$53.70
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$22.39