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West Virginia rates for HCPCS 87803

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

Facilitymedian $24 · 10th–90th $13–$240%50%10th$24Professionalmedian $12 · 10th–90th $10–$190%20%10th90th$12$10.0$20.0$50.0

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 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $19.05
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $39.81 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $23.44 / $81.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.24 / $16.60