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Pennsylvania rates for HCPCS 87803

Iaadiadoo Clostridium Difficile Toxin A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $43.51 / $66.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $12.96 / $66.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.54 / $72.12 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.52 / $20.80 / $53.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $17.98 / $23.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $9.49 / $21.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.40 / $26.40 / $27.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $43.51 / $66.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $13.12 / $66.08
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $21.31 / $53.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $17.98 / $22.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $16.00 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $9.60 / $25.98