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Vermont rates for HCPCS 86481

Tb Antigen Response Gamma Interferon T-Cell Susp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.45 / $262.45 / $262.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.55 / $106.35 / $106.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.06 / $1,037.06 / $1,083.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.38 / $167.38 / $167.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.61 / $100.62 / $143.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.38 / $167.38 / $167.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.61 / $100.62 / $143.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $60.00 / $131.94