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Michigan rates for HCPCS 87803

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

Facilitymedian $15 · 10th–90th $15–$280%50%90th$15Professionalmedian $13 · 10th–90th $10–$190%20%10th90th$13$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
$15.14 / $15.14 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $15.85 / $22.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $28.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $22.39
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.33 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.77 / $16.60