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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
$54.95 / $177.83 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $104.71 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $70.79 / $89.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $87.10 / $190.55
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $87.10 / $190.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $104.71 / $354.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.92 / $85.11