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Maine rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $48.20 / $157.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $16.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $17.71 / $82.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $9.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $13.63 / $17.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.05 / $14.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $34.61 / $109.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $12.05 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $16.72