go back

Hawaii rates for HCPCS 86258

Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $11.93 / $22.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $20.62 / $28.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.71 / $22.49 / $27.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $14.46 / $18.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $14.46 / $17.30
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $16.27 / $27.11