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Wisconsin 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
$138.00 / $303.20 / $404.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $123.00 / $478.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $260.00 / $275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $407.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.05 / $244.39 / $254.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $321.17 / $492.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.81 / $269.27 / $306.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.87 / $41.87 / $120.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.87 / $100.00 / $474.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $95.80 / $183.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $150.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.87 / $41.87 / $120.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.42 / $238.33 / $334.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $475.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.74 / $41.74 / $49.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $77.09 / $212.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $298.73 / $546.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $80.00 / $186.14