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Kentucky rates for HCPCS 86258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $67.51 / $185.69
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
$4.61 / $10.85 / $12.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.61 / $8.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $14.46 / $16.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $14.59 / $24.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $9.19 / $20.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $13.63 / $58.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $6.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $12.68