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Maryland rates for HCPCS 87803

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

Facilitymedian $8 · 10th–90th $7–$170%20%10th90th$8Professionalmedian $12 · 10th–90th $7–$190%10%20%10th90th$12$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $19.05
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.88 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.47 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.20 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.59 / $16.22
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.96 / $23.99