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Montana rates for HCPCS 86481

Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.65 / $259.26 / $313.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $74.14 / $123.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $134.00 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.00 / $195.00 / $295.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.54 / $143.52 / $145.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.00 / $195.00 / $295.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $145.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $100.00