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Pennsylvania rates for HCPCS 87493

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

Facilitymedian $141 · 10th–90th $37$2340%10%10th90th$141Professionalmedian $35 · 10th–90th $24$1860%20%10th90th$35$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
$39.81 / $144.54 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $190.55
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $239.88 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $50.12
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $93.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $104.71 / $213.80
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $630.96
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $85.11 / $165.96
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $69.18
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $100.00 / $138.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $26.30 / $38.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $37.15 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $58.88