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Maine rates for HCPCS 86481

Tb Antigen Response Gamma Interferon T-Cell Susp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.00 / $140.08 / $424.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $81.00 / $105.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.77 / $133.50 / $604.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $86.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.86 / $98.76 / $213.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.85 / $101.96 / $143.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $121.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.30 / $174.42 / $447.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $100.00 / $114.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $61.24 / $148.00