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Indiana rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $37.15 / $211.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $19.80 / $20.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $11.53 / $36.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $11.53 / $15.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $13.26 / $16.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $12.65 / $16.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $22.62 / $47.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $15.22 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $12.05