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New York rates for HCPCS 87493

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

Facilitymedian $83 · 10th–90th $37$1910%10%20%10th90th$83Professionalmedian $33 · 10th–90th $17$910%10%20%10th90th$33$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 / $85.11 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $91.20
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $37.15
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $79.43 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $56.23 / $177.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $44.67 / $109.65
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $70.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $66.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $75.86 / $165.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $44.67 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $31.62 / $85.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $42.66 / $117.49
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $104.71