go back

Idaho rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.75 / $98.56 / $108.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $22.48 / $26.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.99 / $12.21 / $46.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $13.63 / $17.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $22.48 / $25.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.65 / $14.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $24.79 / $43.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $20.95 / $21.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $17.30