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Louisiana rates for HCPCS 86258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.22 / $18.32 / $65.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $19.34 / $20.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $22.02 / $36.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $13.26 / $14.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $11.81 / $11.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $9.27 / $92.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.60 / $13.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $5.77 / $17.30