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Maine rates for HCPCS 86480

Tb Cell Mediated Antign Respnse Gamma Interferon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.20 / $92.96 / $277.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $74.14 / $92.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.98 / $82.74 / $647.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $24.79 / $71.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.62 / $89.15 / $132.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.85 / $84.35 / $89.85
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.50 / $203.50 / $203.50
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $63.22 / $269.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.98 / $61.98 / $75.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.97 / $96.35 / $290.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $71.68 / $123.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.19 / $50.66 / $126.65