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New Mexico rates for HCPCS 87803

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

Facilitymedian $24 · 10th–90th $10–$520%20%40%10th90th$24Professionalmedian $13 · 10th–90th $7–$230%20%10th90th$13$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
$23.99 / $51.29 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $18.62 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.60 / $20.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $18.62 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $14.45 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $9.55