go back

Illinois rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $41.96 / $160.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $19.80 / $29.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.23 / $16.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $50.66 / $175.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $8.67 / $9.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $28.81 / $55.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $13.63 / $17.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.65 / $20.64 / $139.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $15.67 / $15.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.27 / $12.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $12.60