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South Dakota 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
$64.61 / $185.45 / $301.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $123.00 / $294.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.10 / $199.10 / $199.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.81 / $181.48 / $226.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.17 / $120.12 / $475.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.42 / $60.00 / $120.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.04 / $183.36 / $226.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.29 / $183.36 / $261.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.35 / $233.51 / $274.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $60.00 / $132.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00