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Georgia rates for HCPCS 87803

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

Facilitymedian $18 · 10th–90th $13–$540%10%10th90th$18Professionalmedian $12 · 10th–90th $7–$220%10%10th90th$12$5.0$10.0$20.0$50.0$100.0

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
$13.18 / $22.39 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.30 / $23.99
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $31.62 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $18.20 / $25.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $14.45 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $25.70