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Minnesota rates for HCPCS 87803

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

Facilitymedian $35 · 10th–90th $16–$1050%20%10th90th$35Professionalmedian $16 · 10th–90th $12–$190%20%40%10th90th$16$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 / $15.14
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
$15.85 / $15.85 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $60.26 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $30.90
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $104.71
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.55 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $15.85 / $35.48