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Ohio rates for HCPCS 87803

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

Facilitymedian $21 · 10th–90th $13$460%10%20%10th90th$21Professionalmedian $12 · 10th–90th $6$220%10%10th90th$12$5.0$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
$12.88 / $24.55 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $16.98 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.32 / $18.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $18.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $20.89 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.71 / $23.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.72 / $93.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.32 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $19.95
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.98 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.85 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $16.98