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Massachusetts rates for HCPCS 87803

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

Facilitymedian $32 · 10th–90th $12$550%10%20%10th90th$32Professionalmedian $16 · 10th–90th $10$350%20%10th90th$16$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
$10.00 / $36.31 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $23.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $18.20 / $75.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $20.89 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $18.20 / $41.69
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $91.20 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $26.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $35.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $18.20 / $75.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $15.14 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $36.31