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Alaska rates for HCPCS 87803

Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.68 / $110.42 / $187.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $102.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.20 / $44.20 / $44.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $18.17 / $22.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $51.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $61.60 / $77.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $36.00 / $36.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $56.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $15.50 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $32.00 / $48.28