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Maryland rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.15 / $45.86 / $91.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $19.80 / $20.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $10.38 / $14.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $7.98 / $14.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $11.41 / $17.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $15.06 / $18.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.03 / $10.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $5.77 / $9.17