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Pennsylvania rates for HCPCS 87803

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

Facilitymedian $40 · 10th–90th $13$690%10%20%10th90th$40Professionalmedian $12 · 10th–90th $9$240%20%40%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
$14.79 / $41.69 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $28.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $23.44 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $17.78 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $22.91
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.85 / $27.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $26.92
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $28.84 / $54.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $19.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.33 / $15.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $11.48 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.85 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $23.99