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New York rates for HCPCS 87803

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

Facilitymedian $28 · 10th–90th $13–$480%10%20%10th90th$28Professionalmedian $12 · 10th–90th $6–$250%10%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$15.85 / $28.18 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $23.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $25.70
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $15.85
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $39.81 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $22.91 / $81.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $40.74
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.22 / $30.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $18.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $14.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $30.20 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $17.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.47 / $36.31
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $27.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $54.95