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Missouri rates for HCPCS 87803

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

Facilitymedian $22 · 10th–90th $15–$550%10%20%10th90th$22Professionalmedian $13 · 10th–90th $6–$290%10%10th90th$13$10.0$20.0$50.0$100.0$200.0

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 / $26.92 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.30 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $30.20 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $15.14 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $28.18 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $15.85 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $18.62