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Utah rates for HCPCS 86481

Tb Antigen Response Gamma Interferon T-Cell Susp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.50 / $411.34 / $539.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $106.00 / $124.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.48 / $87.91 / $275.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.22 / $114.81 / $143.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $115.00 / $405.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.55 / $81.40 / $115.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $60.00