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Utah rates for HCPCS 87493

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

Facilitymedian $363 · 10th–90th $74–$6460%10%10th90th$363Professionalmedian $34 · 10th–90th $26–$540%20%10th90th$34$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$117.49 / $363.08 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $74.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.88 / $47.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $38.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.11 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $20.89 / $44.67