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Indiana rates for HCPCS 86480

Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $131.83 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.90 / $93.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $61.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $61.66 / $81.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $61.66 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $43.65 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $37.15 / $61.66