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Arizona rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $24.10 / $104.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $19.80 / $20.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $7.53 / $7.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $19.95 / $33.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $10.15 / $14.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $18.79 / $33.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $14.87 / $18.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.88 / $10.05 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $9.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $9.22