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Michigan rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $22.90 / $133.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $19.80 / $20.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $7.53 / $7.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $13.63 / $23.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $9.03 / $12.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $12.05 / $27.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $7.83 / $12.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $13.63 / $18.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $18.00 / $133.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $11.45 / $20.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $9.98 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $11.53