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Pennsylvania 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
$85.00 / $168.73 / $740.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $120.00 / $124.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.25 / $391.20 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.73 / $130.00 / $315.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $108.75 / $149.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $59.00 / $135.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.13 / $250.90 / $595.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $66.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.50 / $255.00 / $430.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $120.00 / $413.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $133.16 / $331.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $108.75 / $143.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $60.00 / $170.00