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North Carolina rates for HCPCS 87803

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

Facilitymedian $17 · 10th–90th $10–$540%10%10th90th$17Professionalmedian $12 · 10th–90th $8–$180%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $33.11 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $21.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $22.39
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $16.60 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.13 / $16.98
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86