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Montana rates for HCPCS 87803

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

Facilitymedian $21 · 10th–90th $16–$490%20%10th90th$21Professionalmedian $15 · 10th–90th $11–$1050%20%10th90th$15$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
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $26.92 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.20 / $23.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $48.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $48.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.92 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.92 / $16.60