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Indiana rates for HCPCS 86258

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

Facilitymedian $22 · 10th–90th $12$1450%10%20%10th90th$22Professionalmedian $12 · 10th–90th $8$200%20%10th90th$12$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $36.31 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $11.48 / $17.38
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $12.59 / $15.85
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.02 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $19.50 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $11.48 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $11.48 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $12.59