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Montana 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
$54.36 / $174.00 / $440.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.11 / $61.98 / $81.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.05 / $83.05 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.05 / $83.05 / $83.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.87 / $120.86 / $183.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $89.31 / $89.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.87 / $120.86 / $183.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $55.78 / $89.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.03 / $26.03 / $61.98