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Utah rates for HCPCS 87803

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

Facilitymedian $49 · 10th–90th $15–$1070%20%10th90th$49Professionalmedian $12 · 10th–90th $9–$160%20%10th90th$12$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
$15.14 / $81.28 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $16.60 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.32 / $22.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $64.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.85 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $16.60